| Brian E Stawarz Lp Lmft Llc | |
|
100 W 46th St Ste 2c Minneapolis MN 55419-4950 | |
| (651) 247-0723 | |
| Not Available |
| Full Name | Brian E Stawarz Lp Lmft Llc |
|---|---|
| Speciality | Psychologist |
| Location | 100 W 46th St Ste 2c, Minneapolis, Minnesota |
| Authorized Official Name and Position | Brian Edmund Stawarz (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6512470723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian E Stawarz Lp Lmft Llc 774 Lower Colonial Dr Mendota Heights MN 55118-2712 Ph: (651) 554-9154 | Brian E Stawarz Lp Lmft Llc 100 W 46th St Ste 2c Minneapolis MN 55419-4950 Ph: (651) 247-0723 |
| NPI Number | 1922376961 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922376961 | NPI | - | NPPES |
| 305472100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP (Minnesota) | Primary |
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