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Bourdeaux Psychological Services

Bourdeaux Psychological Services is a health care provider in Stacy, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 4425 311th St, Stacy, MN 55079-9299, US
Practice Location Phone612-326-0775
Practice Location Fax161-243-5411
Legal Business NameBOURDEAUX PSYCHOLOGICAL SERVICES
NPI ?1689034910
Entity TypeOrganization
Enumeration Date ? Feb 29, 2016
Last Update Date ? Feb 29, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Bourdeaux Psychological Services

SpecialtySpecializationLicenseLicense State
PsychologistClinical LP5690Minnesota

official-icon Authorized Official of Bourdeaux Psychological Services

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Bourdeaux Psychological Services's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Monique Marie Bourdeaux-colburn (PSY.D, LP)
Authorized Official Title/PositionLICENSED PSYCHOLOGIST
Authorized Official Phone Number612-326-0775