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Organization

PARK PSYCHOTHERAPY & CONSULTING INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA J TRIPET DODGE MS LP (CEO)
(952) 927-0170
Entity
Organization

Contact information

Practice address
4601 EXCELSIOR BLVD, SUITE 501, ST LOUIS PARK, MN 55416
(952) 927-0170
(952) 927-7027
Mailing address
4601 EXCELSIOR BLVD, SUITE 501, ST LOUIS PARK, MN 55416
(952) 927-0170
(952) 927-7027

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary

Other

Enumeration date
02/21/2007
Last updated
08/22/2020
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