Organization
LYNN WORKMAN NODLAND, PH.D. & ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN WORKMAN NODLAND (CEO)
(952) 452-2664
Entity
Organization
Contact information
Practice address
684 EXCELSIOR BLVD STE 120, EXCELSIOR, MN 55331-1981
(952) 452-2664
Mailing address
684 EXCELSIOR BLVD STE 120, EXCELSIOR, MN 55331-1981
(952) 452-2664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2607
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66794NO
BLUECROSSBLUESHIELD OF MN
MN
Enumeration date
04/29/2016
Last updated
04/29/2016
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