Riverside Psychological Services

NPI 1184856338 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1184856338
Enumeration Date 08/20/2009
Last Updated 08/20/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CHARLES VINCENT CHARLES
Position DIRECTOR
Phone (507) 206-4202
Fax (507) 206-4225
Practice Location
120 1ST ST NE
ROCHESTER MN, 55906-3710, US
Phone (507) 206-4202
Fax (507) 206-4225
Business Location
PO BOX 382
STEWARTVILLE MN, 55976-0382, US
Phone (507) 206-4202
Fax (507) 206-4225
Toxanomy
Taxonomy Code 251S00000X
License State Minnesota
License Number LP1394
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According to our database, Riverside Psychological Services NPI is 1184856338, taxonomy code is 251S00000X and license number is LP1394, license state is located at Minnesota. Riverside Psychological Services physically located at 120 1st St Ne, Rochester MN, 55906-3710. NPI Number 1033115704 has the healthcare provider type.

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1184856338 NPI number is provided on an as is basis without warranty of any kind. 1184856338 is maintained by the National Plan & Provider Enumeration System. The contents of Riverside Psychological Services are for informational purposes only.