| Impact Psychology Pllc | |
|
724 Bielenberg Drive Suite 4 Woodbury MN 55125-5512 | |
| (651) 204-4034 | |
| Not Available |
| Full Name | Impact Psychology Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 724 Bielenberg Drive, Woodbury, Minnesota |
| Authorized Official Name and Position | Jason Eckerman (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6512044034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Psychology Pllc 6958 W 84th St Minneapolis MN 55438-1159 Ph: (651) 235-5170 | Impact Psychology Pllc 724 Bielenberg Drive Suite 4 Woodbury MN 55125-5512 Ph: (651) 204-4034 |
| NPI Number | 1164923843 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 02/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164923843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LP5825 (Minnesota) | Primary |
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