Organization
DANIEL LEGERSKI, PSY.D., LP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LOUIS LEGERSKI PSY.D., L.P. (OWNER)
(952) 200-9804
Entity
Organization
Contact information
Practice address
5200 WILLSON RD, SUITE 205, EDINA, MN 55424-1332
(952) 200-9804
(952) 920-2461
Mailing address
5200 WILLSON RD, SUITE 205, EDINA, MN 55424-1332
(952) 200-9804
(952) 920-2461
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4384
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156798500
—
MN
Enumeration date
02/02/2012
Last updated
02/02/2012
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