Organization
SANDRA STREITMAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA RUTH STREITMAN PHD (OWNER)
(952) 935-3152
Entity
Organization
Contact information
Practice address
9031 W 34TH ST, ST LOUIS PARK, MN 55426-3703
(952) 935-3152
(195) 251-6595
Mailing address
9031 W 34TH ST, ST LOUIS PARK, MN 55426-3703
(952) 935-3152
(195) 251-6595
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
LP0666
MN
261QM0850X
Adult Mental Health Clinic/Center
LP0666
MN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
LP0666
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000377722
—
MN
Enumeration date
07/09/2013
Last updated
07/09/2013
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