Winifred Lilly-taylor, Phd, Lp | |
2415 Cromwell Dr Minneapolis MN 55410-2523 | |
(612) 929-2421 | |
Not Available |
Full Name | Winifred Lilly-taylor, Phd, Lp |
---|---|
Speciality | Marriage & Family Therapist |
Location | 2415 Cromwell Dr, Minneapolis, Minnesota |
Authorized Official Name and Position | Winifred Lilly-taylor (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 6129292421 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Winifred Lilly-taylor, Phd, Lp 2415 Cromwell Dr Minneapolis MN 55410-2523 Ph: (612) 929-2421 | Winifred Lilly-taylor, Phd, Lp 2415 Cromwell Dr Minneapolis MN 55410-2523 Ph: (612) 929-2421 |
NPI Number | 1861549016 |
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Provider Enumeration Date | 01/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861549016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1968 (Minnesota) | Primary |
106H00000X | Marriage & Family Therapist | 432 (Minnesota) | Primary |
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