Organization
LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LYNN OLSON PSY D, LP (CLINICAL PSYCHOLOGIST)
(218) 722-2525
Entity
Organization
Contact information
Practice address
4891 MILLER TRUNK HWY, SUITE 106, HERMANTOWN, MN 55811-1512
(218) 722-2525
(218) 722-1033
Mailing address
4891 MILLER TRUNK HWY, SUITE 106, HERMANTOWN, MN 55811-1512
(218) 722-2525
(218) 722-1033
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP4532
MN
Other
Enumeration date
11/26/2012
Last updated
02/06/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up