Organization
PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA PETERSON PSYD,LP (PRESIDENT)
(507) 627-1750
Entity
Organization
Contact information
Practice address
126 E 2ND ST, OFFICE #1, REDWOOD FALLS, MN 56283-1695
(507) 627-1750
(507) 627-1751
Mailing address
126 E 2ND ST, OFFICE #1, REDWOOD FALLS, MN 56283-1695
(507) 627-1750
(507) 627-1751
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP4330
MN
103TC0700X
Clinical Psychologist
LP4330
MN
103TC1900X
Counseling Psychologist
LP4330
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP4330
MN
103TF0200X
Forensic Psychologist
LP4330
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LP4330
MN
103TP2701X
Group Psychotherapy Psychologist
Primary
LP4330
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6178609
MEDICA
MN
01
—
970S8CL
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/27/2006
Last updated
09/11/2025
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