Organization
MAHLEN PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LEE MAHLEN PSY.D L.P. (OWNER-PSYCHOLOGIST)
(612) 695-0071
Entity
Organization
Contact information
Practice address
18315 CASCADE DR, STE: 165, EDEN PRAIRIE, MN 55347-1180
(612) 695-0071
(952) 767-5087
Mailing address
18315 CASCADE DR, STE: 165, EDEN PRAIRIE, MN 55347-1180
(612) 695-0071
(952) 767-5087
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5600
MN
Other
Enumeration date
02/10/2016
Last updated
04/26/2016
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