| Core Psychotherapy, Llc | |
|
5871 Cedar Lake Rd S Ste 220 St Louis Park MN 55416-3804 | |
| (612) 293-9332 | |
| (267) 363-2411 |
| Full Name | Core Psychotherapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5871 Cedar Lake Rd S Ste 220, St Louis Park, Minnesota |
| Authorized Official Name and Position | Matthew M. Paymar (OWNER) |
| Authorized Official Contact | 6122939332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Psychotherapy, Llc 5871 Cedar Lake Rd S Ste 220 St Louis Park MN 55416-3804 Ph: (612) 293-9332 | Core Psychotherapy, Llc 5871 Cedar Lake Rd S Ste 220 St Louis Park MN 55416-3804 Ph: (612) 293-9332 |
| NPI Number | 1265731012 |
|---|---|
| Provider Enumeration Date | 03/19/2011 |
| Last Update Date | 03/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265731012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPCC CC00275 (Minnesota) | Primary |
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