Park Psychotherapy & Consulting Inc | |
4601 Excelsior Blvd Suite 501 St Louis Park MN 55416 | |
(952) 927-0170 | |
(952) 927-7027 |
Full Name | Park Psychotherapy & Consulting Inc |
---|---|
Speciality | Psychologist - Group Psychotherapy |
Location | 4601 Excelsior Blvd, St Louis Park, Minnesota |
Authorized Official Name and Position | Laura J Tripet Dodge (CEO) |
Authorized Official Contact | 9529270170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Park Psychotherapy & Consulting Inc 4601 Excelsior Blvd Suite 501 St Louis Park MN 55416 Ph: (952) 927-0170 | Park Psychotherapy & Consulting Inc 4601 Excelsior Blvd Suite 501 St Louis Park MN 55416 Ph: (952) 927-0170 |
NPI Number | 1023153491 |
---|---|
Provider Enumeration Date | 02/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023153491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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