Organization
PSYCHOLOGY OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN JOSEPH LEXAU LP (OWNER)
(612) 385-8321
Entity
Organization
Contact information
Practice address
1619 DAYTON AVE STE 325, SAINT PAUL, MN 55104-6206
(612) 385-8321
Mailing address
1619 DAYTON AVE STE 325, SAINT PAUL, MN 55104-6206
(612) 385-8321
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LP4406
MN
Other
Enumeration date
08/10/2017
Last updated
07/21/2022
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