| Center For Collaborative Health Pllc | |
|
7300 Metro Blvd Suite 400 Edina MN 55439-2468 | |
| (612) 425-0090 | |
| (612) 425-1580 |
| Full Name | Center For Collaborative Health Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 7300 Metro Blvd, Edina, Minnesota |
| Authorized Official Name and Position | Anne Hodgson (OFFICE MANAGER) |
| Authorized Official Contact | 6128751552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Collaborative Health Pllc 7300 Metro Blvd Suite 400 Edina MN 55439-2468 Ph: (612) 425-0090 | Center For Collaborative Health Pllc 7300 Metro Blvd Suite 400 Edina MN 55439-2468 Ph: (612) 425-0090 |
| NPI Number | 1417328808 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Medicare PECOS PAC ID | 2365824976 |
|---|---|
| Medicare Enrollment ID | O20220728003405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417328808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | MN5396 (Minnesota) | Primary |
| 103TC1900X | Psychologist - Counseling | MN5609 (Minnesota) | Secondary |
| Provider Name | Anna Catherine Bishop |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053920041 PECOS PAC ID: 2567872799 Enrollment ID: I20201029001134 |
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