Provider Demographics
NPI:1376690529
Name:ASLAN INSTITUTE
Entity type:Organization
Organization Name:ASLAN INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LP
Authorized Official - Phone:651-686-8818
Mailing Address - Street 1:4555 ERIN DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-3398
Mailing Address - Country:US
Mailing Address - Phone:651-686-8818
Mailing Address - Fax:651-686-5560
Practice Address - Street 1:4555 ERIN DR
Practice Address - Street 2:SUITE 260
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-3398
Practice Address - Country:US
Practice Address - Phone:651-686-8818
Practice Address - Fax:651-686-5560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP 1001103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty