Lakes Psychological Practice, Llc is a Psychology Clinic in Shakopee, Minnesota. It is located at 100 Fuller St S, Shakopee, MN and its contact number is 612-568-1475. The authorized person for Lakes Psychological Practice, Llc is Anisa Sophia Mohammed
who is Psychologist of the clinic and his/her contact number is 612-568-1475. The primary license number for Lakes Psychological Practice, Llc is LP5667 (Psychologist) in Minnesota. Lakes Psychological Practice, Llc Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Lakes Psychological Practice, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lakes Psychological Practice, Llc
Specialization:
General Psychology
Clinic Address:
100 Fuller St S, Shakopee, Minnesota, 55379-1348
Phone:
612-568-1475
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Anisa Sophia Mohammed
Position:
Psychologist
Contact Number:
612-568-1475
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lakes Psychological Practice, Llc clinic are as mentioned below.
NPI Number:
1194232264
NPI Enumeration Date:
10 Jan, 2018
NPI Last Update On:
10 Jan, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakes Psychological Practice, Llc are as mentioned below.
Specialization
License Number
State
Status
Psychologist
LP5667
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1215364625
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Lakes Psychological Practice, Llc at 100 Fuller St S, Shakopee, Minnesota or can call to book an appointment on 612-568-1475. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.