| Pregnancy And Postpartum Support Minnesota | |
|
1700 Niagara Ln N Ste 201 Plymouth MN 55447-4739 | |
| (612) 590-7794 | |
| Not Available |
| Full Name | Pregnancy And Postpartum Support Minnesota |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1700 Niagara Ln N, Plymouth, Minnesota |
| Authorized Official Name and Position | Crystal Clancy (CO-DIRECTOR OF PPSM) |
| Authorized Official Contact | 6125484266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pregnancy And Postpartum Support Minnesota 1700 Niagara Ln N Ste 201 Plymouth MN 55447-4739 Ph: (612) 590-7794 | Pregnancy And Postpartum Support Minnesota 1700 Niagara Ln N Ste 201 Plymouth MN 55447-4739 Ph: (612) 590-7794 |
| NPI Number | 1538541347 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538541347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1356 (Minnesota) | Primary |
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