Individual
DR. LINDA FLIES CAROLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4005 W 65TH ST, SUITE 206, EDINA, MN 55435-1720
(612) 251-4179
(952) 224-7990
Mailing address
14422 HUNTERS LN, SAVAGE, MN 55378-2282
(952) 226-6934
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP2828
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209K7CA
BLUE CROSS BLUE SHIELD
MN
01
—
61-63979
UNITED HEALTHCARE
MN
01
—
768048100
MINNESOTA HEALTH CARE PROGRAMS
MN
Enumeration date
05/26/2006
Last updated
01/03/2009
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