Individual
ELLEN HODGES SAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
14781 BAGLEY AVE, FARIBAULT, MN 55021-7327
(507) 334-9117
(507) 334-9127
Mailing address
14781 BAGLEY AVE, FARIBAULT, MN 55021-7327
(507) 334-9117
(507) 334-9127
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP 1614
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099J55A
BC/BS
MN
01
—
111769
BHP
MN
01
—
600974
MMSI
MN
05
—
932053900
—
MN
Enumeration date
11/09/2005
Last updated
05/03/2010
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