Organization
DR. JANICE NADEAU, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE MARIE NADEAU LP (PSYCHOTHERAPIST)
(612) 870-1242
Entity
Organization
Contact information
Practice address
1409 WILLOW ST, SUITE 300, MINNEAPOLIS, MN 55403-2269
(612) 870-1244
(612) 870-8077
Mailing address
1409 WILLOW ST, SUITE 300, MINNEAPOLIS, MN 55403-2269
(612) 870-1244
(612) 870-8077
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2807
MN
106H00000X
Marriage & Family Therapist
0787
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00737431
MEDICARE
MN
Enumeration date
02/03/2012
Last updated
02/03/2012
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