Organization
TOONSTRA PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN JEFFREY TOONSTRA MS, LP (OWNER)
(218) 259-7424
Entity
Organization
Contact information
Practice address
107 SE 10TH ST, UNIT 102, GRAND RAPIDS, MN 55744-3914
(218) 259-7424
Mailing address
PO BOX 5187, GRAND RAPIDS, MN 55744-1187
(218) 259-7424
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LP3523
MN
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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