Portage Psychology Pa | |
10125 Crosstown Cir Ste 110 Eden Prairie MN 55344-3316 | |
(612) 688-5933 | |
(612) 500-4607 |
Full Name | Portage Psychology Pa |
---|---|
Speciality | Psychologist |
Location | 10125 Crosstown Cir Ste 110, Eden Prairie, Minnesota |
Authorized Official Name and Position | Anna Krull (VICE-PRESIDENT) |
Authorized Official Contact | 6129863333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Portage Psychology Pa 10125 Crosstown Cir Ste 110 Eden Prairie MN 55344-3316 Ph: (612) 688-5933 | Portage Psychology Pa 10125 Crosstown Cir Ste 110 Eden Prairie MN 55344-3316 Ph: (612) 688-5933 |
NPI Number | 1245975010 |
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Provider Enumeration Date | 05/04/2022 |
Last Update Date | 05/04/2022 |
Certification Date | 05/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245975010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
News Archive
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