Organization
ASSOCIATED PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA L MARSHALL PHD LP (OWNER)
(507) 388-8114
Entity
Organization
Contact information
Practice address
113 E HICKORY ST, MANKATO, MN 56001-3630
(507) 388-8114
(507) 388-8068
Mailing address
113 E HICKORY ST, MANKATO, MN 56001-3630
(507) 388-8114
(507) 388-8068
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP3219
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060H0AS
BCBS GROUP #
MN
01
—
121989
UCARE PROV ID
MN
01
—
136497
UCARE GR#
MN
01
—
6128537
MEDICA-UBH PROV ID
MN
05
—
755295500
—
MN
01
—
84732
HEALTH PARTNERS GR#
MN
01
—
C05525
MEDICARE PTAN
MN
Enumeration date
07/05/2006
Last updated
03/04/2011
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