Organization
WATER STREET PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ADAIR OLCHEFSKE L.P. (PRESIDENT)
(507) 377-1719
Entity
Organization
Contact information
Practice address
668 MEADOW LN, ALBERT LEA, MN 56007-4301
(507) 377-1719
(507) 377-1724
Mailing address
668 MEADOW LN, ALBERT LEA, MN 56007-4301
(507) 377-1719
(507) 377-1724
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP5063
MN
Other
Enumeration date
09/28/2009
Last updated
01/06/2016
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