Organization
COLLABORATION FOR PSYCHOLOGICAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA DINESH SHAH PSYD, LP (OWNER/CHIEF EXECUTIVE OFFICER)
(612) 276-2462
Entity
Organization
Contact information
Practice address
12000 PORTLAND AVE STE 120, BURNSVILLE, MN 55337-4469
(612) 276-2462
(612) 246-3682
Mailing address
12000 PORTLAND AVE STE 120, BURNSVILLE, MN 55337-4469
(612) 276-2462
(612) 246-3682
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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