Organization
NORTHSTAR PSYCHOLOGICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GELMER VAN NOORD PH.D., L.P. (PSYCHOLOGIST)
(612) 275-7564
Entity
Organization
Contact information
Practice address
8009 34TH AVE S, RIVERVIEW OFFICE TOWER, SUITE 1490, BLOOMINGTON, MN 55425-1608
(612) 275-7564
(952) 854-5062
Mailing address
20669 FENSTON AVE N, FOREST LAKE, MN 55025-9810
(612) 275-7564
(651) 982-0910
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP4888
MN
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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