| Sandra Shallcross Phd Llc | |
|
211 N 1st St Ste 430 Minneapolis MN 55401-1480 | |
| (612) 524-8119 | |
| Not Available |
| Full Name | Sandra Shallcross Phd Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 211 N 1st St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Sandra Shallcross (PSYCHOLOGIST) |
| Authorized Official Contact | 6125248119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Shallcross Phd Llc 211 N 1st St Ste 430 Minneapolis MN 55401-1480 Ph: (612) 524-8119 | Sandra Shallcross Phd Llc 211 N 1st St Ste 430 Minneapolis MN 55401-1480 Ph: (612) 524-8119 |
| NPI Number | 1952842783 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 03/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952842783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | LP5803 (Minnesota) | Primary |
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