| Single Member Llc | |
|
1664 Cliff Rd E Burnsville MN 55337-1300 | |
| (952) 314-2530 | |
| (952) 314-7018 |
| Full Name | Single Member Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1664 Cliff Rd E, Burnsville, Minnesota |
| Authorized Official Name and Position | Brad Bychinski (OWNER) |
| Authorized Official Contact | 6123905070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Single Member Llc 1664 Cliff Rd E Burnsville MN 55337-1300 Ph: (952) 314-2530 | Single Member Llc 1664 Cliff Rd E Burnsville MN 55337-1300 Ph: (952) 314-2530 |
| NPI Number | 1780944165 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780944165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 5321 (Minnesota) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1839 (Minnesota) | Primary |
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