| Futurebrain Solutions | |
|
5240 W Lake Nokomis Pkwy Minneapolis MN 55417-1857 | |
| (612) 378-2363 | |
| (612) 378-2363 |
| Full Name | Futurebrain Solutions |
|---|---|
| Speciality | Psychologist |
| Location | 5240 W Lake Nokomis Pkwy, Minneapolis, Minnesota |
| Authorized Official Name and Position | Marilyn Mason (OWNER) |
| Authorized Official Contact | 6123782363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Futurebrain Solutions 5240 W Lake Nokomis Pkwy Minneapolis MN 55417-1857 Ph: (612) 378-2363 | Futurebrain Solutions 5240 W Lake Nokomis Pkwy Minneapolis MN 55417-1857 Ph: (612) 378-2363 |
| NPI Number | 1003087818 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003087818 | NPI | - | NPPES |
| 057547000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP2385 (Minnesota) | Primary |
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