institution
W Wade Phd Lp Llc
Adult Mental Health Clinic/Center in St Louis Park, Minnesota
NPI 1477859940

W Wade Phd Lp Llc is an Adult Mental Health Clinic/Center based in St Louis Park, MN and is specialized in Adult Mental Health. W Wade Phd Lp Llc practices in St Louis Park, MN. The NPI Number for W Wade Phd Lp Llc is 1477859940 and holds a License No. LP5259 (Minnesota).

The current practice location address for W Wade Phd Lp Llc is 4500 Park Glen Rd, St Louis Park, MN and can be reached out via phone at 952-929-9478 and via fax at 952-929-9548.

Location: 4500 Park Glen Rd, St Louis Park, MN, 55416-4871
institution
Provider Profile Details
NPI Number
1477859940
Provider Name
W Wade Phd Lp Llc
Credential
Provider Entity Type
Organization
Address
4500 Park Glen Rd, St Louis Park, MN, 55416-4871
Phone Number
952-929-9478
Fax Number
952-929-9548
Provider Enumeration Date
02/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4500 Park Glen Rd
City
State
Zip
55416-4871
Phone Number
952-929-9478
Fax Number
952-929-9548
person
Provider Business Mailing Address Details
Address
4500 Park Glen Rd
City
State
Zip
55416-4871
Phone Number
952-929-9478
Fax Number
952-929-9548
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
LP5259 (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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