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5905 Golden Valley Rd Suite 100 Golden Valley MN 55422-4463 | |
(763) 225-4052 | |
(888) 965-5130 |
Full Name | |
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Speciality | Psychologist |
Location | 5905 Golden Valley Rd, Golden Valley, Minnesota |
Authorized Official Name and Position | Athena Mihas (VP FINANCE) |
Authorized Official Contact | 9529454000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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22426 Saint Francis Blvd Anoka MN 55303-9670 Ph: (763) 753-7310 | 5905 Golden Valley Rd Suite 100 Golden Valley MN 55422-4463 Ph: (763) 225-4052 |
NPI Number | 1174799621 |
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Provider Enumeration Date | 05/05/2008 |
Last Update Date | 04/07/2015 |
Identifier | Type | State | Issuer |
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1174799621 | NPI | - | NPPES |
694319500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 1163 (Minnesota) | Primary |
Lucinda Cummings, Ph.d., Lp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, #212, Golden Valley, MN 55426 Phone: 763-546-1796 Fax: 763-546-8260 | |
Stephanie Untiedt, Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN 55422 Phone: 763-595-7294 Fax: 763-595-7293 | |
Buice Behavioral Healthcare Consultants Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Douglas Dr N Ste 120, Golden Valley, MN 55422 Phone: 763-807-5254 Fax: 763-465-3032 |