Organization
PROGENY ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI KRONK (DIRECTOR)
(763) 325-9150
Entity
Organization
Contact information
Practice address
5929 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-2529
(763) 325-9150
(763) 325-9151
Mailing address
5929 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-2529
(763) 325-9150
(763) 325-9151
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251300000X
Local Education Agency (LEA)
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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