| Shores Therapy, Llc | |
|
557 7th St W Saint Paul MN 55102-3065 | |
| (651) 900-4808 | |
| Not Available |
| Full Name | Shores Therapy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 557 7th St W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Crystal Shores (PSYCHOLOGIST) |
| Authorized Official Contact | 6519004808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shores Therapy, Llc 674 Ottawa Ave Saint Paul MN 55107-2555 Ph: () - | Shores Therapy, Llc 557 7th St W Saint Paul MN 55102-3065 Ph: (651) 900-4808 |
| NPI Number | 1609255926 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609255926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP5721 (Minnesota) | Primary |
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