| Akiko Tanaka, Phd, Lp, Llc | |
|
333 Grand Ave Suite 213 Saint Paul MN 55102-2582 | |
| (612) 547-9170 | |
| Not Available |
| Full Name | Akiko Tanaka, Phd, Lp, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 333 Grand Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Akiko Tanaka (OWNER) |
| Authorized Official Contact | 6125479170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Akiko Tanaka, Phd, Lp, Llc 333 Grand Ave Suite 213 Saint Paul MN 55102-2582 Ph: (612) 547-9170 | Akiko Tanaka, Phd, Lp, Llc 333 Grand Ave Suite 213 Saint Paul MN 55102-2582 Ph: (612) 547-9170 |
| NPI Number | 1346657970 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346657970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP5699 (Minnesota) | Primary |
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