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Associated Clinic Of Psychology Inc
Adolescent and Children Mental Health Clinic/Center in St Louis Park, Minnesota
NPI 1588741292

Associated Clinic Of Psychology Inc is an Adolescent and Children Mental Health Clinic/Center based in St Louis Park, MN and is specialized in Adolescent and Children Mental Health. Associated Clinic Of Psychology Inc practices in St Louis Park, MN. The NPI Number for Associated Clinic Of Psychology Inc is 1588741292 and holds a License No. 811029-1-MHC (Minnesota).

The current practice location address for Associated Clinic Of Psychology Inc is 4027 County Road 25, St Louis Park, MN and can be reached out via phone at 612-925-6033 and via fax at 612-925-8496.

Location: 4027 County Road 25, St Louis Park, MN, 55416-4758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588741292
Provider Name
Associated Clinic Of Psychology Inc
Credential
Provider Entity Type
Organization
Address
4027 County Road 25, St Louis Park, MN, 55416-4758
Phone Number
612-925-6033
Fax Number
612-925-8496
Provider Enumeration Date
11/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CT0661 01 MN RAILROAD MEDICARE
3920 01 MN HEALTHPARTNERS
277723100 05 MN
475-94AS 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
4027 County Road 25
City
St Louis Park
State
Minnesota
Zip
55416
Phone Number
612-925-6033
Fax Number
612-925-8496
person
Provider Business Mailing Address Details
Address
4027 County Road 25
City
St Louis Park
State
Minnesota
Zip
55416
Phone Number
612-925-6033
Fax Number
612-925-8496
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
811029-1-MHC (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
811029-1-MHC (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.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
811029-1-MHC (Minnesota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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