| Michael V. Desanctis, Phd, Abpp, Licensed Psychologist Pllc | |
|
413 Wacouta St Ste 550 Saint Paul MN 55101-1645 | |
| (651) 225-9222 | |
| (651) 225-9224 |
| Full Name | Michael V. Desanctis, Phd, Abpp, Licensed Psychologist Pllc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 413 Wacouta St Ste 550, Saint Paul, Minnesota |
| Authorized Official Name and Position | Michael Vito Desanctis (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6512259222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael V. Desanctis, Phd, Abpp, Licensed Psychologist Pllc 413 Wacouta St Ste 550 Saint Paul MN 55101-1645 Ph: (651) 225-9222 | Michael V. Desanctis, Phd, Abpp, Licensed Psychologist Pllc 413 Wacouta St Ste 550 Saint Paul MN 55101-1645 Ph: (651) 225-9222 |
| NPI Number | 1780992479 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 09/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780992479 | NPI | - | NPPES |
| 261348400 | Other | MN | MINNESOTA HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 1395 (Minnesota) | Primary |
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