| Segal Psychotherapy, Llc | |
|
9800 Shelard Pkwy # 115 Plymouth MN 55441-6411 | |
| (612) 875-6416 | |
| (952) 546-3000 |
| Full Name | Segal Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9800 Shelard Pkwy # 115, Plymouth, Minnesota |
| Authorized Official Name and Position | Renee Segal (OWNER) |
| Authorized Official Contact | 6128756416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Segal Psychotherapy, Llc 9800 Shelard Pkwy # 115 Plymouth MN 55441-6411 Ph: (612) 875-6416 | Segal Psychotherapy, Llc 9800 Shelard Pkwy # 115 Plymouth MN 55441-6411 Ph: (612) 875-6416 |
| NPI Number | 1114312048 |
|---|---|
| Provider Enumeration Date | 03/28/2015 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114312048 | NPI | - | NPPES |
| 1776903 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2108 (Minnesota) | Primary |
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