Individual
LOUISA HOLLINSHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LP
Contact information
Practice address
121 11TH AVE SE, FOREST LAKE, MN 55025-1850
(651) 251-5220
(651) 251-5279
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1602
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106230
UC
MN
01
—
17584
HP
MN
01
—
239392
CP
MN
01
—
570042
P1
MN
01
—
5H806HO
BCBS
MN
01
—
62-20087
UBH
MN
Enumeration date
07/19/2006
Last updated
07/08/2007
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