Provider Demographics
NPI:1750668380
Name:HEALTH PSYCHOLOGY SOLUTIONS PLLC
Entity Type:Organization
Organization Name:HEALTH PSYCHOLOGY SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:STILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-633-3800
Mailing Address - Street 1:2233 HAMLINE AVE N STE 611
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-5007
Mailing Address - Country:US
Mailing Address - Phone:651-633-3800
Mailing Address - Fax:
Practice Address - Street 1:2233 HAMLINE AVE N STE 611
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-5007
Practice Address - Country:US
Practice Address - Phone:651-633-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP4872251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health