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Portages Health Llc
Prescribing (Medical) Psychologist in Minneapolis, Minnesota
NPI 1942945761

Portages Health Llc is a Prescribing (Medical) Psychologist based in Minneapolis, MN and is specialized in Prescribing (Medical). Portages Health Llc practices in Minneapolis, MN. The NPI Number for Portages Health Llc is 1942945761 and holds a License No. (Minnesota).

The current practice location address for Portages Health Llc is 310 4Th Ave S Ste 5010, Minneapolis, MN and can be reached out via phone at 320-492-2232.

Location: 310 4Th Ave S Ste 5010, Minneapolis, MN, 55415-1053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942945761
Provider Name
Portages Health Llc
Credential
Provider Entity Type
Organization
Address
310 4Th Ave S Ste 5010, Minneapolis, MN, 55415-1053
Phone Number
320-492-2232
Fax Number
Provider Enumeration Date
05/05/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
310 4Th Ave S Ste 5010
City
Minneapolis
State
Minnesota
Zip
55415-1053
Phone Number
320-492-2232
Fax Number
person
Provider Business Mailing Address Details
Address
310 4Th Ave S Ste 5010
City
Minneapolis
State
Minnesota
Zip
55415-1053
Phone Number
320-492-2232
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
()
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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