Great Lakes Neurobehavioral Center, Pc | |
7373 France Ave S Suite 305 Edina MN 55435-4534 | |
(612) 382-7165 | |
Not Available |
Full Name | Great Lakes Neurobehavioral Center, Pc |
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Speciality | Psychologist |
Location | 7373 France Ave S, Edina, Minnesota |
Authorized Official Name and Position | Melissa Fischer (NEUROPSYCHOLOGIST) |
Authorized Official Contact | 6123827165 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Great Lakes Neurobehavioral Center, Pc 10195 Inver Grove Trl Inver Grove Heights MN 55076-3830 Ph: (612) 382-7165 | Great Lakes Neurobehavioral Center, Pc 7373 France Ave S Suite 305 Edina MN 55435-4534 Ph: (612) 382-7165 |
NPI Number | 1649717778 |
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Provider Enumeration Date | 01/27/2017 |
Last Update Date | 03/03/2017 |
Identifier | Type | State | Issuer |
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1649717778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 6005 (Minnesota) | Primary |
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