Individual
MS. JOAN MARIE OSLUND-GOLECZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
6160 SUMMIT DR N STE 375, BROOKLYN CENTER, MN 55430-2251
(763) 560-8331
Mailing address
3829 DARTMOUTH DR, MINNETONKA, MN 55345-1712
(952) 476-4796
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3924
MN
103TB0200X
Cognitive & Behavioral Psychologist
LP3924
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LP3924
MN
103TP2701X
Group Psychotherapy Psychologist
LP3924
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
982631900
—
MN
Enumeration date
01/23/2007
Last updated
10/30/2023
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