Dvorak, Tia

Dvorak, Tia is an individual health care provider with primary practice located at 18336 Joplin St Nw , Elk River MN 55330-1773. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Dvorak, Tia can be contacted via phone (763) 350-9687.

Contact Information

Primary practice address
18336 Joplin St Nw Elk River MN 55330-1773
Phone: (763) 350-9687
Fax: (651) 447-5394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2822 Minnesota

Profile Details

NPI number 1912383969
LBN Legal business name Dvorak, Tia
Credentials MS LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2015
Last updated Apr 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912383969 NPPES
Minnesota MEDICAID 2822

Popular Providers