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Organization

NORTHWEST PSYCHOLOGY CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM PACE PH.D., L.P. (OWNER)
(651) 645-3115
Entity
Organization

Contact information

Practice address
5851 DULUTH ST, SUITE 113, GOLDEN VALLEY, MN 55422-3946
(651) 645-3115
(651) 645-2752
Mailing address
5851 DULUTH ST, SUITE 113, GOLDEN VALLEY, MN 55422-3946
(651) 645-3115
(651) 645-2752

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68282NO
BCBS
MN
Enumeration date
08/05/2006
Last updated
09/11/2025
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