PORTAGE PSYCHOLOGY PA

EDEN PRAIRIE, MN
NPI1245975010
Entity TypeOrganization
Authorized ContactANNA KRULL
Vice President
612-986-3333
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
Enumeration Date2022-05-04
Last Update Date2022-05-04
Business Address
PORTAGE PSYCHOLOGY PA
10125 CROSSTOWN CIR STE 110
EDEN PRAIRIE, MN 55344-3316
Phone number: 612-688-5933
Mailing Address
PORTAGE PSYCHOLOGY PA
10125 CROSSTOWN CIR STE 110
EDEN PRAIRIE, MN 55344-3316
Phone number: 612-688-5933
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