Individual
DR. LYNN WORKMAN NODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LMFT
Contact information
Practice address
684 EXCELSIOR BLVD, SUITE NUMBER 120, EXCELSIOR, MN 55331-1980
(952) 452-2664
(952) 401-0480
Mailing address
684 EXCELSIOR BLVD STE 120, EXCELSIOR, MN 55331-1981
(952) 452-2664
(952) 401-0480
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 2607
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66794NO
BLUECROSS BLUESHIELD MN
MN
Enumeration date
07/31/2006
Last updated
04/28/2016
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