Developing Minds Psychology, Pllc | |
3340 Republic Ave St Louis Park MN 55426-4154 | |
(517) 977-6571 | |
Not Available |
Full Name | Developing Minds Psychology, Pllc |
---|---|
Speciality | Clinic/center |
Location | 3340 Republic Ave, St Louis Park, Minnesota |
Authorized Official Name and Position | Gabriel Watson (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 6127580583 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Developing Minds Psychology, Pllc 3340 Republic Ave Ste 120 St Louis Park MN 55426-4189 Ph: (612) 758-0583 | Developing Minds Psychology, Pllc 3340 Republic Ave St Louis Park MN 55426-4154 Ph: (517) 977-6571 |
NPI Number | 1780177337 |
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Provider Enumeration Date | 06/08/2018 |
Last Update Date | 11/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780177337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | LP6081 (Minnesota) | Primary |
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