Organization
ASPEN PSYCHOLOGICAL CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN ELLYN TYSON ROBERTS PH.D. (OWNER)
(612) 367-7103
Entity
Organization
Contact information
Practice address
5353 GAMBLE DR STE 395, ST LOUIS PARK, MN 55416-1510
(612) 367-7103
Mailing address
1660 HIGHWAY 100 S STE 332, ST LOUIS PARK, MN 55416-1573
(612) 367-7103
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
5330
MN
Other
Enumeration date
06/10/2013
Last updated
02/04/2021
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