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5100 Thimsen Ave Ste 130 Minnetonka MN 55345-4115 | |
| (952) 222-4284 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5100 Thimsen Ave Ste 130, Minnetonka, Minnesota |
| Authorized Official Name and Position | Elizabeth Ward (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9522224284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5100 Thimsen Ave Ste 130 Minnetonka MN 55345-4115 Ph: (952) 222-4284 | 5100 Thimsen Ave Ste 130 Minnetonka MN 55345-4115 Ph: (952) 222-4284 |
| NPI Number | 1518732767 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518732767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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