| Moniza Psychological Services | |
|
11900 Wayzata Blvd Suite 132 Minnetonka MN 55305-2031 | |
| (952) 236-6188 | |
| Not Available |
| Full Name | Moniza Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 11900 Wayzata Blvd, Minnetonka, Minnesota |
| Authorized Official Name and Position | Caroline R. Moniza (PSYCHOLOGIST) |
| Authorized Official Contact | 6129647946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moniza Psychological Services 13389 Granada Ave Apple Valley MN 55124-7619 Ph: (612) 964-7946 | Moniza Psychological Services 11900 Wayzata Blvd Suite 132 Minnetonka MN 55305-2031 Ph: (952) 236-6188 |
| NPI Number | 1841522901 |
|---|---|
| Provider Enumeration Date | 01/31/2010 |
| Last Update Date | 01/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841522901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP4570 (Minnesota) | Primary |
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