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Organization
ADULT AND MENTAL HEALTH SERVICES, PA
Active
Organization
ADULT AND MENTAL HEALTH SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA EDGAR PARKER NP,PSYD (OWNER/PRESDIENT)
(952) 465-7942
Entity
Organization
Contact information
Practice address
7373 147TH ST W, SUITE 108, APPLE VALLEY, MN 55124-7690
(952) 465-7942
Mailing address
13657 DULUTH DR, APPLE VALLEY, MN 55124-9203
(952) 465-7942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
927367-2
MN
363LG0600X
Gerontology Nurse Practitioner
927367-2
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
927367-2
MN
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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