Twin Cities Play Therapy Center, Llc | |
3440 Federal Dr Suite 140 Eagan MN 55122-3501 | |
(651) 452-2305 | |
(651) 452-2796 |
Full Name | Twin Cities Play Therapy Center, Llc |
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Speciality | Marriage & Family Therapist |
Location | 3440 Federal Dr, 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 |
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Twin Cities Play Therapy Center, Llc 3440 Federal Dr Suite 140 Eagan MN 55122-3501 Ph: (651) 452-2305 | Twin Cities Play Therapy Center, Llc 3440 Federal Dr Suite 140 Eagan MN 55122-3501 Ph: (651) 452-2305 |
NPI Number | 1013925312 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 05/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013925312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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