Organization
PROFESSIONAL PSYCHOLOGICAL SERVICES, LTD
Active
Organization
PROFESSIONAL PSYCHOLOGICAL SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARGARET BORER RN., LICSW (CEO/PRESIDENT)
(651) 353-0133
Entity
Organization
Contact information
Practice address
3352 SHERMAN CT, SUITE 104, EAGAN, MN 55121-5003
(651) 353-0133
(651) 905-0464
Mailing address
608 HAMPSHIRE DR, MENDOTA HEIGHTS, MN 55120-1932
(651) 353-0133
(651) 905-0464
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
16437
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
877621100
—
MN
Enumeration date
01/08/2009
Last updated
01/08/2009
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