| Actify Neurotherapies, Pllc | |
|
115 Elm St Ste I Farmington MN 55024-1031 | |
| (888) 566-8774 | |
| Not Available |
| Full Name | Actify Neurotherapies, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 115 Elm St Ste I, Farmington, Minnesota |
| Authorized Official Name and Position | Steven Levine (MANAGING MEMBER) |
| Authorized Official Contact | 6096514429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Actify Neurotherapies, Pllc 800 Bunn Dr Ste 304 Princeton NJ 08540-1968 Ph: (888) 566-8774 | Actify Neurotherapies, Pllc 115 Elm St Ste I Farmington MN 55024-1031 Ph: (888) 566-8774 |
| NPI Number | 1174156152 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174156152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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