| Roots Psychological Services, Llc | |
|
7026 E Fish Lake Rd Maple Grove MN 55311-2832 | |
| (763) 777-1105 | |
| Not Available |
| Full Name | Roots Psychological Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7026 E Fish Lake Rd, Maple Grove, Minnesota |
| Authorized Official Name and Position | Claudia Daml (OWNER) |
| Authorized Official Contact | 7634644575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Psychological Services, Llc 3101 Major Ave N Golden Valley MN 55422-3138 Ph: (763) 464-4575 | Roots Psychological Services, Llc 7026 E Fish Lake Rd Maple Grove MN 55311-2832 Ph: (763) 777-1105 |
| NPI Number | 1285062133 |
|---|---|
| Provider Enumeration Date | 10/30/2013 |
| Last Update Date | 10/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285062133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP5231 (Minnesota) | Primary |
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