Organization
LYN-LAKE PSYCHOTHERAPY AND WELLNESS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY ROSE VAN WYK PSY.D., LP (PRESIDENT)
(651) 485-8417
Entity
Organization
Contact information
Practice address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 979-2276
(651) 925-0427
Mailing address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 979-2276
(651) 925-0427
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
01/04/2021
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