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PARK PSYCHOTHERAPY & CONSULTING INC NPI 1023153491


NPI Information

NPI: 1023153491
Provider Name: PARK PSYCHOTHERAPY & CONSULTING INC
Classification: Psychologist - 103TP2701X
Entity Type: Organization

Specialization: Group Psychotherapy

Address:
4601 EXCELSIOR BLVD
SUITE 501
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 927-0170
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PARK PSYCHOTHERAPY & CONSULTING INC is a group psychotherapy psychologist in St Louis Park, MN. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. PARK PSYCHOTHERAPY & CONSULTING INC NPI is 1023153491. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4601 EXCELSIOR BLVD
SUITE 501
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 927-0170
Fax: (952) 927-7027

The provider's authorized official is Laura J Tripet Dodge .
The authorized official title is Ceo and has the following contact phone number (952) 927-0170.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP2701XPsychologistGroup PsychotherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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