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Saba Ghazimoghadam, Ph.d., Lp, Llc
Adult Mental Health Clinic/Center in Minnetrista, Minnesota
NPI 1083111389

Saba Ghazimoghadam, Ph.d., Lp, Llc is an Adult Mental Health Clinic/Center based in Minnetrista, MN and is specialized in Adult Mental Health. Saba Ghazimoghadam, Ph.d., Lp, Llc practices in Minnetrista, MN. The NPI Number for Saba Ghazimoghadam, Ph.d., Lp, Llc is 1083111389 and holds a License No. LP5561 (Minnesota).

The current practice location address for Saba Ghazimoghadam, Ph.d., Lp, Llc is 6582 Willow Ct, Minnetrista, MN and can be reached out via phone at 612-308-3623.

Location: 6582 Willow Ct, Minnetrista, MN, 55364-8630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083111389
Provider Name
Saba Ghazimoghadam, Ph.d., Lp, Llc
Credential
Provider Entity Type
Organization
Address
6582 Willow Ct, Minnetrista, MN, 55364-8630
Phone Number
612-308-3623
Fax Number
Provider Enumeration Date
04/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6582 Willow Ct
City
Minnetrista
State
Minnesota
Zip
55364-8630
Phone Number
612-308-3623
Fax Number
person
Provider Business Mailing Address Details
Address
6582 Willow Ct
City
Minnetrista
State
Minnesota
Zip
55364-8630
Phone Number
612-308-3623
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
LP5561 (Minnesota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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