| Life-work Psychotherapy Llc | |
|
333 Grand Ave Ste 102 Saint Paul MN 55102-2584 | |
| (651) 571-8967 | |
| (651) 666-1592 |
| Full Name | Life-work Psychotherapy Llc |
|---|---|
| Speciality | Psychologist |
| Location | 333 Grand Ave Ste 102, Saint Paul, Minnesota |
| Authorized Official Name and Position | William Scott Slattery (OWNER) |
| Authorized Official Contact | 6123869682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life-work Psychotherapy Llc 1296 Ford Pkwy Saint Paul MN 55116-2208 Ph: (612) 386-9682 | Life-work Psychotherapy Llc 333 Grand Ave Ste 102 Saint Paul MN 55102-2584 Ph: (651) 571-8967 |
| NPI Number | 1366260341 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 7810429263 |
|---|---|
| Medicare Enrollment ID | O20241010001926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366260341 | NPI | - | NPPES |
| 1689797136 | Other | MN | BC/BS; HEALTHPARTNERS; UCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | William Scott Slattery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689797136 PECOS PAC ID: 8729510177 Enrollment ID: I20241010002035 |
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