Organization
MINNEAPOLIS SOUTHWEST MENTAL HEALTH CLINIC, LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE BREMNER PETERSON MALP (PRESIDENT)
(952) 831-4499
Entity
Organization
Contact information
Practice address
4010 W 65TH ST STE 101, EDINA, MN 55435-1724
(952) 831-4499
Mailing address
4010 W 65TH ST STE 101, EDINA, MN 55435-1724
(952) 831-4499
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2893
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11702MI
BLUECROSSBLUESHIELD
MN
Enumeration date
05/10/2007
Last updated
08/22/2020
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