| Olitzky Pediatric Psychological Services Llc | |
|
4700 Park Glen Rd St Louis Park MN 55416-5701 | |
| (917) 575-7985 | |
| Not Available |
| Full Name | Olitzky Pediatric Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 4700 Park Glen Rd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Sarah Littman Olitzky (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 9175757985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olitzky Pediatric Psychological Services Llc 2516 Quentin Ct St Louis Park MN 55416-1900 Ph: (917) 575-7985 | Olitzky Pediatric Psychological Services Llc 4700 Park Glen Rd St Louis Park MN 55416-5701 Ph: (917) 575-7985 |
| NPI Number | 1144604950 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 07/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144604950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | LP5511 (Minnesota) | Primary |
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