OrganizationActive
Meritcare 1219
NPI 1871749036 · Family Psychologist · Detroit Lakes, MN
Provider details
- NPI number
- 1871749036
- Entity type
- Organization
- Primary specialty
- Family PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Carlson, Cfo701233344811
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1219 S Washington Ave
Detroit Lakes, MN 56501-3905
Phone: (218) 846-2000
Approximate (ZIP-level) locationGet directions
Mailing address
1219 S Washington Ave
Detroit Lakes, MN 56501-3905
Registry dates
- Enumerated
- 2008-08-07
- Last updated
- 2008-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.