| Hawthorne Family Services | |
|
80 Hampshire Ave N Golden Valley MN 55427-4923 | |
| (612) 889-4291 | |
| (763) 546-8189 |
| Full Name | Hawthorne Family Services |
|---|---|
| Speciality | Psychologist |
| Location | 80 Hampshire Ave N, Golden Valley, Minnesota |
| Authorized Official Name and Position | Robert K Vucinovich (OWNER PSYCHOLOGIST) |
| Authorized Official Contact | 6128894291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawthorne Family Services 80 Hampshire Ave N Golden Valley MN 55427-4923 Ph: (612) 889-4291 | Hawthorne Family Services 80 Hampshire Ave N Golden Valley MN 55427-4923 Ph: (612) 889-4291 |
| NPI Number | 1922134071 |
|---|---|
| Provider Enumeration Date | 02/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922134071 | NPI | - | NPPES |
| 330J6VU | Other | MN | BLUECROSS |
| $$$$$$$$$ | Other | MN | SOCIAL SECURITY |
| 1700954005 | Other | MN | NPI # INDIVIDUAL |
| 62-57935 | Other | MN | UNITED BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP1141 (Minnesota) | Primary |
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