Organization
RIVERSIDE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES VINCENT DAWLEY MA,LP (DIRECTOR)
(507) 206-4202
Entity
Organization
Contact information
Practice address
120 1ST ST NE, ROCHESTER, MN 55906-3710
(507) 206-4202
(507) 206-4225
Mailing address
PO BOX 382, STEWARTVILLE, MN 55976-0382
(507) 206-4202
(507) 206-4225
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP1394
MN
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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