| Park Psychotherapy & Consulting Inc | |
|
4601 Excelsior Blvd Suite 501 St Louis Park MN 55416 | |
| (952) 927-0170 | |
| (952) 927-7027 |
| Full Name | Park Psychotherapy & Consulting Inc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 4601 Excelsior Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Laura J Tripet Dodge (CEO) |
| Authorized Official Contact | 9529270170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Psychotherapy & Consulting Inc 4601 Excelsior Blvd Suite 501 St Louis Park MN 55416 Ph: (952) 927-0170 | Park Psychotherapy & Consulting Inc 4601 Excelsior Blvd Suite 501 St Louis Park MN 55416 Ph: (952) 927-0170 |
| NPI Number | 1023153491 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023153491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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