| Brad Delong Therapy, Pllc | |
|
4900 Highway 169 N Ste 324 New Hope MN 55428-4046 | |
| (612) 234-2082 | |
| Not Available |
| Full Name | Brad Delong Therapy, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4900 Highway 169 N Ste 324, New Hope, Minnesota |
| Authorized Official Name and Position | Bradly Delong (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 6127996011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Delong Therapy, Pllc 5424 Unity Ave N Crystal MN 55429-3266 Ph: (612) 799-6011 | Brad Delong Therapy, Pllc 4900 Highway 169 N Ste 324 New Hope MN 55428-4046 Ph: (612) 234-2082 |
| NPI Number | 1639996804 |
|---|---|
| Provider Enumeration Date | 09/20/2024 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639996804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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