| Birchwood Therapy Services, Plc | |
|
13968 Cypress Dr Ste 1a Baxter MN 56425-5904 | |
| (218) 454-1082 | |
| (218) 454-1083 |
| Full Name | Birchwood Therapy Services, Plc |
|---|---|
| Speciality | Psychologist |
| Location | 13968 Cypress Dr Ste 1a, Baxter, Minnesota |
| Authorized Official Name and Position | Caroline Jane Bad Heart Bull (OWNER) |
| Authorized Official Contact | 3202916137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birchwood Therapy Services, Plc 13968 Cypress Dr Ste 1a Baxter MN 56425-5904 Ph: (218) 454-1082 | Birchwood Therapy Services, Plc 13968 Cypress Dr Ste 1a Baxter MN 56425-5904 Ph: (218) 454-1082 |
| NPI Number | 1992110910 |
|---|---|
| Provider Enumeration Date | 06/27/2014 |
| Last Update Date | 12/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992110910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP4453 (Minnesota) | Primary |
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