| The Compassion Boutique Pc | |
|
4500 Park Glen Rd Ste 450 St Louis Park MN 55416-5190 | |
| (952) 259-9099 | |
| Not Available |
| Full Name | The Compassion Boutique Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4500 Park Glen Rd Ste 450, St Louis Park, Minnesota |
| Authorized Official Name and Position | Elizabeth Wagner (CEO) |
| Authorized Official Contact | 9522959099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Compassion Boutique Pc 4500 Park Glen Rd Ste 450 St Louis Park MN 55416-5190 Ph: (952) 259-9099 | The Compassion Boutique Pc 4500 Park Glen Rd Ste 450 St Louis Park MN 55416-5190 Ph: (952) 259-9099 |
| NPI Number | 1457175267 |
|---|---|
| Provider Enumeration Date | 11/09/2024 |
| Last Update Date | 11/09/2024 |
| Certification Date | 11/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457175267 | NPI | - | NPPES |
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