| Saba Ghazimoghadam, Ph.d., Lp, Llc | |
|
6582 Willow Ct Minnetrista MN 55364-8630 | |
| (612) 308-3623 | |
| Not Available |
| Full Name | Saba Ghazimoghadam, Ph.d., Lp, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6582 Willow Ct, Minnetrista, Minnesota |
| Authorized Official Name and Position | Saba Ghazimoghadam (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6123083623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saba Ghazimoghadam, Ph.d., Lp, Llc 6582 Willow Ct Minnetrista MN 55364-8630 Ph: (612) 308-3623 | Saba Ghazimoghadam, Ph.d., Lp, Llc 6582 Willow Ct Minnetrista MN 55364-8630 Ph: (612) 308-3623 |
| NPI Number | 1083111389 |
|---|---|
| Provider Enumeration Date | 04/12/2018 |
| Last Update Date | 04/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083111389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LP5561 (Minnesota) | Primary |