Organization
CENTER FOR MINDFUL DIALOGUE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA SUSAN COHEN PH.D. (PRESIDENT)
(612) 379-5360
Entity
Organization
Contact information
Practice address
416 E HENNEPIN AVE, SUITE 107, MINNEAPOLIS, MN 55414-1006
(612) 379-5360
(612) 379-5353
Mailing address
416 E HENNEPIN AVE, SUITE 107, MINNEAPOLIS, MN 55414-1006
(612) 379-5360
(612) 379-5353
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1749
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02849CO
BLUECROSSBLUESHIELD
MN
Enumeration date
05/03/2007
Last updated
08/22/2020
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