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1405 Lilac Dr N Ste 200 Golden Valley MN 55422-4546 | |
(763) 545-7708 | |
(763) 545-3479 |
Full Name | |
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Speciality | Psychologist - Clinical |
Location | 1405 Lilac Dr N Ste 200, Golden Valley, Minnesota |
Authorized Official Name and Position | Kendra Ann Woodworth (PRESIDENT/LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 6122062735 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1405 Lilac Dr N Ste 200 Golden Valley MN 55422-4546 Ph: (763) 545-7708 | 1405 Lilac Dr N Ste 200 Golden Valley MN 55422-4546 Ph: (763) 545-7708 |
NPI Number | 1699289926 |
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Provider Enumeration Date | 11/22/2017 |
Last Update Date | 11/22/2017 |
Identifier | Type | State | Issuer |
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1699289926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | LP6072 (Minnesota) | Primary |
Lucinda Cummings, Ph.d., Lp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, #212, Golden Valley, MN 55426 Phone: 763-546-1796 Fax: 763-546-8260 | |
Stephanie Untiedt, Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN 55422 Phone: 763-595-7294 Fax: 763-595-7293 | |
Buice Behavioral Healthcare Consultants Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Douglas Dr N Ste 120, Golden Valley, MN 55422 Phone: 763-807-5254 Fax: 763-465-3032 |