Organization
SOUTHERN MINNESOTA PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PATRICK LANG (CLINICAL PSYCHOLOGIST)
(507) 434-1092
Entity
Organization
Contact information
Practice address
329 N MAIN ST STE 104L, AUSTIN, MN 55912-3478
(507) 434-1092
Mailing address
2701 9TH AVE SW, AUSTIN, MN 55912-5406
(507) 438-3062
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
07/19/2023
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