| Shoshana Center | |
|
475 Cleveland Ave N Suite 200 Saint Paul MN 55104-5031 | |
| (651) 645-5504 | |
| (651) 645-5517 |
| Full Name | Shoshana Center |
|---|---|
| Speciality | Psychologist - Health |
| Location | 475 Cleveland Ave N, Saint Paul, Minnesota |
| Authorized Official Name and Position | Deborah Ellen Rich (OWNER/DIRECTOR) |
| Authorized Official Contact | 6516455504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoshana Center 1836 Iglehart Ave Saint Paul MN 55104-3522 Ph: (651) 431-8506 | Shoshana Center 475 Cleveland Ave N Suite 200 Saint Paul MN 55104-5031 Ph: (651) 645-5504 |
| NPI Number | 1689120123 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 08/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689120123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | LP1281 (Minnesota) | Primary |
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