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4500 Park Glen Road #155 St. Louis Park MN 55416 | |
(612) 223-7992 | |
(952) 928-9774 |
Full Name | |
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Speciality | Psychologist |
Location | 4500 Park Glen Road #155, St. Louis Park, Minnesota |
Authorized Official Name and Position | Bettina Stuecher (OWNER) |
Authorized Official Contact | 6512356493 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4500 Park Glen Road #155 St. Louis Park MN 55416 Ph: (612) 223-7992 | 4500 Park Glen Road #155 St. Louis Park MN 55416 Ph: (612) 223-7992 |
NPI Number | 1346471232 |
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Provider Enumeration Date | 07/27/2009 |
Last Update Date | 11/11/2024 |
Certification Date | 11/11/2024 |
Identifier | Type | State | Issuer |
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1346471232 | NPI | - | NPPES |
5H617PO | Other | MN | BLUE CROSS |