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
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