CAROLYN PHELPS PHDLP LLC NPI 1710467071

NPI Information

NPI: 1710467071
Provider Name: CAROLYN PHELPS PHDLP LLC

Doing Business As: DREAMLIFE PSYCHOLOGICAL SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
302 W SUPERIOR ST STE 502
DULUTH, MN
ZIP 55802
Phone: (218) 341-2834
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CAROLYN PHELPS PHDLP LLC is a mental health (including community mental health center) clinic center in Duluth, MN. CAROLYN PHELPS PHDLP LLC NPI is 1710467071. The provider is registered as an organization entity type.
The provider Is Doing Business As Dreamlife Psychological Services.

The provider's business location address is:

302 W SUPERIOR ST STE 502
DULUTH, MN
ZIP 55802-115
Phone: (218) 341-2834

The provider's authorized official is Carolyn Phelps .
The authorized official title is Psychologist and has the following contact phone number (218) 341-2834.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 8/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	LP3015	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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