Organization
CONCEPCION PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANETTE FAYE CONCEPCION PH.D. (OWNER)
(651) 714-2000
Entity
Organization
Contact information
Practice address
6230 10TH ST N, SUITE 310-B, OAKDALE, MN 55128-6158
(651) 714-2000
(651) 714-4400
Mailing address
6230 10TH ST N, SUITE 310-B, OAKDALE, MN 55128-6158
(651) 714-2000
(651) 714-4400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2958
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103577
HEALTH PARTNERS MN
MN
01
—
453T3CO
BLUE CROSS BLUE SHIELD MN
MN
01
—
6190337
UNITED BEHAVIORAL HLTH-MN
MN
01
—
990991023407
PREFERRED ONE MN
MN
Enumeration date
01/29/2007
Last updated
08/22/2020
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