| Twin Cities Play Therapy Center | |
|
3440 Federal Dr Ste 150 Eagan MN 55122-3516 | |
| (651) 452-2305 | |
| (651) 452-2796 |
| Full Name | Twin Cities Play Therapy Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3440 Federal Dr Ste 150, Eagan, Minnesota |
| Authorized Official Name and Position | Shawn Michael Bulgatz (OWNER) |
| Authorized Official Contact | 6514522305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Cities Play Therapy Center 3440 Federal Dr Ste 150 Eagan MN 55122-3516 Ph: (651) 452-2305 | Twin Cities Play Therapy Center 3440 Federal Dr Ste 150 Eagan MN 55122-3516 Ph: (651) 452-2305 |
| NPI Number | 1316324635 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316324635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Minnesota) | Primary |
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