Organization
SAMANTHA SORENSEN PSYD LP LLC
Active
Organization
SAMANTHA SORENSEN PSYD LP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA SORENSEN PSY.D. (LICENSED PSYCHOLOGIST/OWNER)
(763) 350-9032
Entity
Organization
Contact information
Practice address
9289 CENTRAL AVE NE, SUITE 401, BLAINE, MN 55434-3424
(763) 614-5060
(763) 614-5060
Mailing address
12331 LEVER ST NE, BLAINE, MN 55449-6643
(763) 350-9032
(763) 614-5060
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP5556
MN
Other
Enumeration date
10/24/2015
Last updated
10/24/2015
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