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.
|Practice Location||4425 311th St, Stacy, MN 55079-9299, US|
|Practice Location Phone||612-326-0775|
|Practice Location Fax||161-243-5411|
|Legal Business Name||BOURDEAUX PSYCHOLOGICAL SERVICES|
|Enumeration Date ?||Feb 29, 2016|
|Last Update Date ?||Feb 29, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Psychologist||Behavioral Health & Social Service Providers||Clinical||LP5690||Minnesota|
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/Position||LICENSED PSYCHOLOGIST|
|Authorized Official Phone Number||612-326-0775|