Organization
SOMERS PSYCHOLOGICAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J SOMERS PH.D. (LICENSED PSYCHOLOGIST)
(763) 201-1090
Entity
Organization
Contact information
Practice address
7225 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5501
(763) 201-1090
(763) 201-1095
Mailing address
7225 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5501
(763) 201-1090
(763) 201-1095
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP1856
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913252000
—
MN
Enumeration date
06/27/2012
Last updated
06/27/2012
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