Organization
LIFE-WORK PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCOTT SLATTERY PHD (OWNER)
(612) 386-9682
Entity
Organization
Contact information
Practice address
333 GRAND AVE STE 102, SAINT PAUL, MN 55102-2584
(651) 571-8967
(651) 666-1592
Mailing address
1296 FORD PKWY, SAINT PAUL, MN 55116-2208
(612) 386-9682
(651) 666-1592
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689797136
BC/BS; HEALTHPARTNERS; UCARE
MN
Enumeration date
09/30/2024
Last updated
09/30/2024
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