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CLINICAL PSYCHOPHARMACOLOGY CONSULTANTS PA NPI 1508053273


NPI Information

NPI: 1508053273
Provider Name: CLINICAL PSYCHOPHARMACOLOGY CONSULTANTS, PA

Doing Business As: CPC, PA

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
3601 PARK CENTER BLVD
SUITE 207
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 926-3364
Get Directions

CLINICAL PSYCHOPHARMACOLOGY CONSULTANTS, PA is an adult mental health clinic center in St Louis Park, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CLINICAL PSYCHOPHARMACOLOGY CONSULTANTS, PA NPI is 1508053273. The provider is registered as an organization entity type.
The provider Is Doing Business As Cpc, Pa.

The provider's business location address is:

3601 PARK CENTER BLVD
SUITE 207
ST LOUIS PARK, MN
ZIP 55416-531
Phone: (952) 926-3364
Fax: (952) 926-3369

The provider's authorized official is Faruk Said Abuzzahab .
The authorized official title is President/owner and has the following contact phone number (952) 926-3364.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 9/26/2007.


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
1261QM0850XClinic/CenterAdult Mental Health17068MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B58524MEDICARE UPINMINNESOTA

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: 11/14/2023

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