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Organization

SEGAL PSYCHOTHERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENEE SEGAL LMFT (OWNER)
(612) 875-6416
Entity
Organization

Contact information

Practice address
9800 SHELARD PKWY # 115, PLYMOUTH, MN 55441-6411
(612) 875-6416
(952) 546-3000
Mailing address
9800 SHELARD PKWY # 115, PLYMOUTH, MN 55441-6411
(612) 875-6416

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2108
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1776903
MN
Enumeration date
03/28/2015
Last updated
11/29/2021
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