Organization
SIMONSON PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL PAUL SIMONSON MS LP (PRESIDENT PSYCHOLOGIST)
(763) 639-7462
Entity
Organization
Contact information
Practice address
10267 UNIVERSITY AVE, #203, BLAINE, MN 55434
(763) 639-7462
(763) 786-5462
Mailing address
10267 UNIVERSITY AVE NE, SUITE 203, BLAINE, MN 55434
(763) 639-7462
(763) 786-5462
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3450
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53M835I
BCBS BLUE CROSS BLUE SHIE
MN
Enumeration date
01/16/2007
Last updated
08/22/2020
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