Dr. Ellen Chazdon, Psy.D., L.P., Llc

LBN: Dr. Ellen Chazdon, Psy.D., L.P., Llc
Dr. Ellen Chazdon, Psy.D., L.P., Llc is an health care organization with primary practice located at 5200 Willson Rd Ste 490 , Edina MN 55424-1398. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Dr. Ellen Chazdon, Psy.D., L.P., Llc can be contacted via phone (952) 920-9304, or through Chazdon, Ellen via phone (612) 310-3318.

Contact Information

Primary practice address
5200 Willson Rd Ste 490 Edina MN 55424-1398
Phone: (952) 920-9304
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chazdon, Ellen PSY.D., L.P.
Phone: (612) 310-3318

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3170 Minnesota

Profile Details

NPI number 1457748477
LBN Legal business name Dr. Ellen Chazdon, Psy.D., L.P., Llc
DBA Doing business as
Authorized official Chazdon, Ellen PSY.D., L.P.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2015
Last updated Apr 16th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457748477 NPPES
Minnesota MEDICAID 720817100

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