| Thomas M Graske, M.a., L.p. | |
|
521 Tanglewood Dr Shoreview MN 55126-2016 | |
| (763) 753-1785 | |
| (763) 753-1753 |
| Full Name | Thomas M Graske, M.a., L.p. |
|---|---|
| Speciality | Psychologist |
| Location | 521 Tanglewood Dr, Shoreview, Minnesota |
| Authorized Official Name and Position | Thomas Michael Graske (PSYCHOLOGIST / OWNER) |
| Authorized Official Contact | 7637531785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M Graske, M.a., L.p. 521 Tanglewood Dr Shoreview MN 55126-2016 Ph: (763) 753-1785 | Thomas M Graske, M.a., L.p. 521 Tanglewood Dr Shoreview MN 55126-2016 Ph: (763) 753-1785 |
| NPI Number | 1144228776 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144228776 | NPI | - | NPPES |
| LP3334 | Other | MN | MN BOARD OF PSYCHOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP3334 (Minnesota) | Primary |
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Elaine K Johnson Ma Lp Ladc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Tanglewood Dr, Shoreview, MN 55126 Phone: 612-801-5826 Fax: 651-490-5215 | |
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