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Organization

BUSHMAN PSYCHOLOGICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY BUSHMAN PHD. LP (PRESIDENT)
(952) 898-5020
Entity
Organization

Contact information

Practice address
14551 JUDICIAL RD STE 100, BURNSVILLE, MN 55306-4991
(952) 898-5020
(952) 898-5858
Mailing address
14551 JUDICIAL RD STE 100, BURNSVILLE, MN 55306-4991
(952) 898-5020
(952) 898-5858

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LP3946
MN

Other

Enumeration date
10/10/2006
Last updated
04/05/2018
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