| Groves Academy | |
|
3200 Highway 100 S St Louis Park MN 55416-2175 | |
| (952) 920-6377 | |
| (952) 920-2068 |
| Full Name | Groves Academy |
|---|---|
| Speciality | Psychologist - School |
| Location | 3200 Highway 100 S, St Louis Park, Minnesota |
| Authorized Official Name and Position | John Alexander (HEAD) |
| Authorized Official Contact | 9529154257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groves Academy 3200 Highway 100 S St Louis Park MN 55416-2175 Ph: (952) 920-6377 | Groves Academy 3200 Highway 100 S St Louis Park MN 55416-2175 Ph: (952) 920-6377 |
| NPI Number | 1043490824 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043490824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | LP1736 (Minnesota) | Primary |
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