Maple Grove Counseling Center Pa

NPI 1164496071 - Psychologist - 103T00000X

NPI Details
NPI 1164496071
Enumeration Date 02/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ARDITH ANN ARDITH
Position LICENSED PSYCHOLOGIST OWNER
Phone (763) 494-8699
Fax (763) 494-8797
Practice Location
13700 83RD WAY
STE 205
MAPLE GROVE MN, 55369-7015, US
Phone (763) 494-8699
Fax (763) 494-8797
Business Location
13700 83RD WAY
STE 205
MAPLE GROVE MN, 55369-7015, US
Phone (763) 494-8699
Fax (763) 494-8797
Toxanomy
Taxonomy Code 103T00000X
License State Minnesota
License Number LP0951
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According to our database, Maple Grove Counseling Center Pa NPI is 1164496071, taxonomy code is 103T00000X and license number is LP0951, license state is located at Minnesota. Maple Grove Counseling Center Pa physically located at 13700 83rd Way, Maple Grove MN, 55369-7015. NPI Number 1033115704 has the healthcare provider type.

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1164496071 NPI number is provided on an as is basis without warranty of any kind. 1164496071 is maintained by the National Plan & Provider Enumeration System. The contents of Maple Grove Counseling Center Pa are for informational purposes only.