Organization
LUMEN PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRITT NICOLE SHACKELFORD WESSEL PSYD, LP (MEMBER / PROVIDER)
(612) 787-7050
Entity
Organization
Contact information
Practice address
3503 HIGHPOINT DR N STE 230, OAKDALE, MN 55128-7577
(612) 787-7050
Mailing address
3503 HIGHPOINT DR N STE 230, OAKDALE, MN 55128-7577
(612) 787-7050
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP 5297
MN
Other
Enumeration date
11/30/2011
Last updated
02/17/2021
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