Organization
ANXIETY & DEPRESSION CLINIC OF THE TWIN CITIES, PA
Active
Organization
ANXIETY & DEPRESSION CLINIC OF THE TWIN CITIES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE E ERICKSON (OFFICE ADMINISTRATOR)
(952) 404-9124
Entity
Organization
Contact information
Practice address
18300 MTKA BLVD., STE 210, DEEPHAVEN, MN 55391-3272
(952) 404-9124
(952) 404-9273
Mailing address
18300 MTKA BLVD., STE 210, DEEPHAVEN, MN 55391-3272
(952) 404-9124
(952) 404-9273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13015
MN
2084P0800X
Psychiatry Physician
829
MN
Other
Enumeration date
12/13/2006
Last updated
09/11/2025
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