Individual
NATASHA MANISH PAREKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
700 TWELVE OAKS CENTER DR, WAYZATA, MN 55391
(952) 209-1510
Mailing address
700 TWELVE OAKS CENTER DR, WAYZATA, MN 55391-4401
(952) 209-1510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6166
MN
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026139700
—
NE
05
—
47037660624
—
NE
05
—
47037660631
—
NE
Enumeration date
07/07/2015
Last updated
09/30/2019
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