<Unavail>

LBN: Elizabeth Wagner, Psyd, Lp, Inc.
<Unavail> is an health care organization with primary practice located at 4500 Park Glen Rd Suite 450, Saint Louis Park MN 55416-4871. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Elizabeth Wagner, Psyd, Lp, Inc. can be contacted via phone (952) 444-9744, or through Wagner, Elizabeth via phone (952) 444-9744.

Contact Information

Primary practice address
4500 Park Glen Rd Suite 450 Saint Louis Park MN 55416-4871
Phone: (952) 444-9744
Fax: (952) 444-9745
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Elizabeth PSYD
Phone: (952) 444-9744

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5833 Minnesota

Profile Details

NPI number 1740637818
LBN Legal business name Elizabeth Wagner, Psyd, Lp, Inc.
DBA Doing business as <Unavail>
Authorized official Wagner, Elizabeth PSYD
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2016
Last updated Jul 1st, 2016 - about 10 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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