Organization
NORTHERN THERAPY AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN VOJTECH (OWNER)
(763) 568-7622
Entity
Organization
Contact information
Practice address
13750 CROSSTOWN DR NW STE L102, ANDOVER, MN 55304-5854
(763) 568-7622
(763) 703-5900
Mailing address
MOLLY PROFESSIONAL BUILDING PHASE 2, 13750 CROSSTOWN DRIVE SUITE L102, ANDOVER, MN 55403
(763) 568-7622
(763) 703-5900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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