Organization
PSYCHOLOGY SERVICES OF MINNESOTA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JAMES EDWARDS PH.D., LP (PSYCHOLOGIST)
(218) 330-7867
Entity
Organization
Contact information
Practice address
804 WRIGHT ST, BRAINERD, MN 56401-4441
(218) 829-1407
Mailing address
15748 BIRCHWOOD LN, BRAINERD, MN 56401-6176
(218) 330-7867
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3464
MN
Other
Enumeration date
05/10/2018
Last updated
04/11/2019
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