Organization
MERIDIAN PSYCHOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA THOMLEY (CEO)
(763) 450-5045
Entity
Organization
Contact information
Practice address
9400 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55427-4318
(763) 450-5000
Mailing address
9400 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55427-4318
(763) 450-5000
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477848100
—
MN
Enumeration date
04/15/2008
Last updated
04/28/2008
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