Groves Academy

NPI 1043490824 - Psychologist - 103TS0200X

NPI Details
NPI 1043490824
Enumeration Date 11/08/2007
Last Updated 11/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN JOHN
Position HEAD
Phone (952) 920-6377
Fax (952) 920-2068
Practice Location
3200 HIGHWAY 100 S
ST LOUIS PARK MN, 55416-2175, US
Phone (952) 920-6377
Fax (952) 920-2068
Business Location
3200 HIGHWAY 100 S
ST LOUIS PARK MN, 55416-2175, US
Phone (952) 920-6377
Fax (952) 920-2068
Toxanomy
Taxonomy Code 103TS0200X
License State Minnesota
License Number LP1736
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According to our database, Groves Academy NPI is 1043490824, taxonomy code is 103TS0200X and license number is LP1736, license state is located at Minnesota. Groves Academy physically located at 3200 Highway 100 S, St Louis Park MN, 55416-2175. NPI Number 1033115704 has the healthcare provider type.

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1043490824 NPI number is provided on an as is basis without warranty of any kind. 1043490824 is maintained by the National Plan & Provider Enumeration System. The contents of Groves Academy are for informational purposes only.