Parkdale Therapy Group, Llc in St Louis Park - Prescribing (medical)
Parkdale Therapy Group, Llc - NPI 1275723777
Parkdale Therapy Group, Llc is a Prescribing (medical) in St Louis Park, Minnesota. Parkdale Therapy Group, Llc practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Parkdale Therapy Group, Llc is 1275723777. The last update date is 2020-08-03.
Parkdale Therapy Group, Llc's current location address is 1000 Shelard Pkwy Ste 520, St Louis Park, Minnesota. You can contact this provider via phone number 9522240399 and fax number 9522240396. The mailing address for Parkdale Therapy Group, Llc is 1000 Shelard Pkwy Ste 520, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Parkdale Therapy Group, Llc |
|---|---|
| Address | 1000 Shelard Pkwy Ste 520, St Louis Park, Minnesota |
| Phone Number | 9522240399 |
| Fax Number | 9522240396 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Jankord Lamont John |
| Credentials | LMFT |
| Telephone Number | 9522240399 |
NPI Number Detail
| NPI Number | 1275723777 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2020-08-03 |
Provider Mailing Address Detail
| Address | 1000 Shelard Pkwy Ste 520 |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554261053 |
| Phone Number | 9522240399 |
| Fax Number | 9522240396 |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | 27774 |
|
Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Parkdale Therapy Group, Llc by the Centers for Medicare & Medicaid Services?
The Parkdale Therapy Group, Llc has been issued the NPI (National Provider Identifier) 1275723777, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Parkdale Therapy Group, Llc?
The Parkdale Therapy Group, Llc is physically situated at 1000 Shelard Pkwy Ste 520, in the city of St Louis Park, state of MN, with the postal code 554261053.
What is the Parkdale Therapy Group, Llc's area of specialization and corresponding taxonomy classification?
The Parkdale Therapy Group, Llc's specialty field is Prescribing (medical), and it falls under the taxonomy code 103Tp0016X, which categorizes healthcare providers based on their specialties.
On what date was the 1275723777 assigned to Parkdale Therapy Group, Llc?
The Parkdale Therapy Group, Llc was issued its 1275723777 on 2007-07-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Parkdale Therapy Group, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Parkdale Therapy Group, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-03.
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