| Joy Petermann, Llc | |
|
5353 Gamble Dr Ste 110 St Louis Park MN 55416-1539 | |
| (763) 432-4072 | |
| (763) 432-4073 |
| Full Name | Joy Petermann, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5353 Gamble Dr Ste 110, St Louis Park, Minnesota |
| Authorized Official Name and Position | Joy M Petermann (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 7634324072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joy Petermann, Llc 5353 Gamble Dr Ste 110 St Louis Park MN 55416-1539 Ph: (763) 432-4072 | Joy Petermann, Llc 5353 Gamble Dr Ste 110 St Louis Park MN 55416-1539 Ph: (763) 432-4072 |
| NPI Number | 1942502570 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942502570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 14968 (Minnesota) | Primary |
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