| Salt And Stone Psychotherapy, Llc | |
|
4141 Old Sibley Memorial Hwy Eagan MN 55122-1996 | |
| (952) 769-4401 | |
| Not Available |
| Full Name | Salt And Stone Psychotherapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4141 Old Sibley Memorial Hwy, Eagan, Minnesota |
| Authorized Official Name and Position | Cindy L Fischer- Hancock (OWNER) |
| Authorized Official Contact | 9527694401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt And Stone Psychotherapy, Llc 4141 Old Sibley Memorial Hwy Eagan MN 55122-1996 Ph: () - | Salt And Stone Psychotherapy, Llc 4141 Old Sibley Memorial Hwy Eagan MN 55122-1996 Ph: (952) 769-4401 |
| NPI Number | 1033972054 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 1759729015 |
|---|---|
| Medicare Enrollment ID | O20240404003932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033972054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Cindy Lou Fischer-hancock |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396813671 PECOS PAC ID: 7012355373 Enrollment ID: I20240404004021 |
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