Quinn Sullivan Psyd, Lp | |
8519 Eagle Point Blvd Suite 150 Lake Elmo MN 55042-8629 | |
(651) 343-4800 | |
(877) 992-0282 |
Full Name | Quinn Sullivan Psyd, Lp |
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Speciality | Community/behavioral Health |
Location | 8519 Eagle Point Blvd, Lake Elmo, Minnesota |
Authorized Official Name and Position | Quinn Sullivan (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6513434800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Quinn Sullivan Psyd, Lp 8519 Eagle Point Blvd Suite 150 Lake Elmo MN 55042-8629 Ph: (651) 343-4800 | Quinn Sullivan Psyd, Lp 8519 Eagle Point Blvd Suite 150 Lake Elmo MN 55042-8629 Ph: (651) 343-4800 |
NPI Number | 1639575137 |
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Provider Enumeration Date | 11/10/2014 |
Last Update Date | 11/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639575137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 5493 (Minnesota) | Primary |
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