Childrens Hospitals And Clinics Of Minnesota | |
345 North Smith Avenue Childrens Specialty Clinic Psychological Services Stpl St Paul MN 55102 | |
(651) 220-6720 | |
(651) 220-6707 |
Full Name | Childrens Hospitals And Clinics Of Minnesota |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 345 North Smith Avenue, St Paul, Minnesota |
Authorized Official Name and Position | Marc H Gorelick (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6128138031 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Childrens Hospitals And Clinics Of Minnesota 5901 Lincoln Drive, Cbc-2-rev/pe Edina MN 55436-1611 Ph: (952) 992-5398 | Childrens Hospitals And Clinics Of Minnesota 345 North Smith Avenue Childrens Specialty Clinic Psychological Services Stpl St Paul MN 55102 Ph: (651) 220-6720 |
NPI Number | 1457444507 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 10/31/2022 |
Certification Date | 10/31/2022 |
Identifier | Type | State | Issuer |
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1457444507 | NPI | - | NPPES |
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