Organization
COLLEEN MORRISSETTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY COLLEEN MORRISSETTE PSYD, LP (OWNER/LICENSED PSYCHOLOGIST)
(651) 705-6892
Entity
Organization
Contact information
Practice address
3340 REPUBLIC AVE, ST LOUIS PARK, MN 55426-4154
(651) 705-6892
(612) 926-8526
Mailing address
3340 REPUBLIC AVE, ST LOUIS PARK, MN 55426-4154
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LP5891
MN
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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