Organization
SUCCESS PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN PHILLIP HIRSCH PH.D. (CEO)
(612) 965-6135
Entity
Organization
Contact information
Practice address
2239 CARTER AVE # 202, SAINT PAUL, MN 55108-1638
(612) 965-6135
(651) 645-2439
Mailing address
2239 CARTER AVE # 202, SAINT PAUL, MN 55108-1638
(612) 965-6135
(651) 645-2439
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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