Organization
AURORA PSYCHOLOGICAL SERVICES LLC
Active
Other names
Roger Olsen Psy LP LLC, Aurora Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE ELIZABETH EMANUEL PSYD (LICENSED PSYCHOLOGIST)
(651) 274-1203
Entity
Organization
Contact information
Practice address
4660 SLATER RD, SUITE 210, EAGAN, MN 55122-4047
(651) 882-6299
(651) 882-6299
Mailing address
4660 SLATER RD, SUITE 210, EAGAN, MN 55122-4047
(651) 882-6299
(651) 683-0057
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4645
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084673200
—
MN
01
—
138155
UCARE
MN
01
—
83G50OL
BLUE CROSS BLUE SHIELD
MN
01
—
HP58813
HEALTH PARTNERS
MN
Enumeration date
09/20/2006
Last updated
03/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us