Organization
HEALTH CARE PSYCHOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY C FERNEYHOUGH PH.D (PRESIDENT)
(651) 464-6900
Entity
Organization
Contact information
Practice address
20 LAKE ST N, SUITE 320, FOREST LAKE, MN 55025-2523
(651) 464-6900
(651) 464-6333
Mailing address
20 LAKE ST N, SUITE 320, FOREST LAKE, MN 55025-2523
(651) 464-6900
(651) 464-6333
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP1901
MN
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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