Organization
ANITA DOYLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA M DOYLE LICSW (PRESIDENT)
(952) 926-7063
Entity
Organization
Contact information
Practice address
3754 PLEASANT AVE, MINNEAPOLIS, MN 55409-1277
(952) 926-7063
Mailing address
3754 PLEASANT AVE, MINNEAPOLIS, MN 55409-1277
(952) 926-7063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07050
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03655DO
BLUE CROSS BLUE SHIELD
MN
05
—
5190550
—
MN
01
—
62-68336
MEDICA
MN
Enumeration date
01/24/2007
Last updated
08/22/2020
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