Healthcare Provider Details
I. General information
NPI: 1649285438
Provider Name (Legal Business Name): BELL PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
504 S 2ND AVE SUITE 210
VIRGINIA MN
55792-2704
US
IV. Provider business mailing address
3920 13TH AVE E SUITE 6
HIBBING MN
55746-3675
US
V. Phone/Fax
- Phone: 218-780-0511
- Fax:
- Phone: 218-263-7540
- Fax: 866-732-0699
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CLAIRE
BELL
Title or Position: OWNER
Credential:
Phone: 218-780-0511