Organization
MINNETONKA PSYCHOLOGY AND WELLNESS
Active
Other names
Minnesota Relationship Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER A. BALLOU PHD (CO-OWNER)
(952) 767-0442
Entity
Organization
Contact information
Practice address
19765 HIGHWAY 7, SUITE 203, SHOREWOOD, MN 55331
(952) 767-0442
(952) 854-1647
Mailing address
19765 HIGHWAY 7, SUITE 203, SHOREWOOD, MN 55331
(952) 767-0442
(952) 854-1647
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1130
MN
Other
Enumeration date
08/06/2012
Last updated
07/10/2014
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