Organization
TWIN CITIES PLAY THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MICHAEL BULGATZ LMFT (OWNER)
(651) 452-2305
Entity
Organization
Contact information
Practice address
3440 FEDERAL DR STE 150, EAGAN, MN 55122-3516
(651) 452-2305
(651) 452-2796
Mailing address
3440 FEDERAL DR STE 150, EAGAN, MN 55122-3516
(651) 452-2305
(651) 452-2796
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MN
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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