Organization
CIRCLE OF CRANES PSYCHOLOGY CENTER,L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE R. WYNNE (OWNER LICENSED PSYCHOLOGIST)
(763) 546-1662
Entity
Organization
Contact information
Practice address
315 GEORGIA AVE N, GOLDEN VALLEY, MN 55427-4978
(763) 546-1662
Mailing address
PO BOX 27314, GOLDEN VALLEY, MN 55427-0314
(763) 546-1662
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1876
MN
Other
Enumeration date
12/13/2006
Last updated
11/25/2014
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