Organization
DANIEL LEGERSKI, PSY.D., LP, LLC
Active
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
Update your record
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