| Quineiform Llc | |
|
8519 Eagle Point Blvd Suite 150 Lake Elmo MN 55042-8629 | |
| (651) 343-4800 | |
| (877) 992-0282 |
| Full Name | Quineiform Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8519 Eagle Point Blvd, Lake Elmo, Minnesota |
| Authorized Official Name and Position | Quinn Sullivan (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6513434800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quineiform Llc 8519 Eagle Point Blvd Suite 150 Lake Elmo MN 55042-8629 Ph: (651) 343-4800 | Quineiform Llc 8519 Eagle Point Blvd Suite 150 Lake Elmo MN 55042-8629 Ph: (651) 343-4800 |
| NPI Number | 1639575137 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639575137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5493 (Minnesota) | Primary |
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