| Anxiety & Depression Clinic Of The Twin Cities, Pa | |
|
18300 Mtka Blvd., Ste 210 Deephaven MN 55391-3272 | |
| (952) 404-9124 | |
| (952) 404-9273 |
| Full Name | Anxiety & Depression Clinic Of The Twin Cities, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 18300 Mtka Blvd., Ste 210, Deephaven, Minnesota |
| Authorized Official Name and Position | Suzanne E Erickson (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9524049124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anxiety & Depression Clinic Of The Twin Cities, Pa 18300 Mtka Blvd., Ste 210 Deephaven MN 55391-3272 Ph: (952) 404-9124 | Anxiety & Depression Clinic Of The Twin Cities, Pa 18300 Mtka Blvd., Ste 210 Deephaven MN 55391-3272 Ph: (952) 404-9124 |
| NPI Number | 1225199953 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225199953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13015 (Minnesota) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 829 (Minnesota) | Primary |