Organization
SKADI SPORT PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN AYALA PHD, LP, CMPC (PRACTICE OWNER)
(612) 326-4856
Entity
Organization
Contact information
Practice address
4900 HIGHWAY 169 N STE 110, NEW HOPE, MN 55428-4032
(612) 208-2347
Mailing address
4900 HIGHWAY 169 N STE 110, NEW HOPE, MN 55428-4032
(612) 208-2347
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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