| Blossom Whole Family Therapy & Child Psychology Center, Pllc | |
|
10505 Wayzata Blvd Ste 103 Minnetonka MN 55305-1507 | |
| (952) 545-3300 | |
| (952) 545-3300 |
| Full Name | Blossom Whole Family Therapy & Child Psychology Center, Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 10505 Wayzata Blvd Ste 103, Minnetonka, Minnesota |
| Authorized Official Name and Position | Gretchen Lewis-snyder (CHIEF MANAGER/PSYCHOLOGIST) |
| Authorized Official Contact | 6127195422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Whole Family Therapy & Child Psychology Center, Pllc 10505 Wayzata Blvd Ste 103 Minnetonka MN 55305-1507 Ph: (952) 545-3300 | Blossom Whole Family Therapy & Child Psychology Center, Pllc 10505 Wayzata Blvd Ste 103 Minnetonka MN 55305-1507 Ph: (952) 545-3300 |
| NPI Number | 1194059642 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194059642 | NPI | - | NPPES |
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