Segal Psychotherapy, Llc | |
9800 Shelard Pkwy # 115 Plymouth MN 55441-6411 | |
(612) 875-6416 | |
(952) 546-3000 |
Full Name | Segal Psychotherapy, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 9800 Shelard Pkwy # 115, Plymouth, Minnesota |
Authorized Official Name and Position | Renee Segal (OWNER) |
Authorized Official Contact | 6128756416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Segal Psychotherapy, Llc 9800 Shelard Pkwy # 115 Plymouth MN 55441-6411 Ph: (612) 875-6416 | Segal Psychotherapy, Llc 9800 Shelard Pkwy # 115 Plymouth MN 55441-6411 Ph: (612) 875-6416 |
NPI Number | 1114312048 |
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Provider Enumeration Date | 03/28/2015 |
Last Update Date | 11/29/2021 |
Certification Date | 11/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114312048 | NPI | - | NPPES |
1776903 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2108 (Minnesota) | Primary |
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› Verified 5 days ago
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