| Skadi Sport Psychology | |
|
4900 Highway 169 N Ste 110 New Hope MN 55428-4032 | |
| (612) 208-2347 | |
| Not Available |
| Full Name | Skadi Sport Psychology |
|---|---|
| Speciality | Psychologist - Exercise & Sports |
| Location | 4900 Highway 169 N Ste 110, New Hope, Minnesota |
| Authorized Official Name and Position | Erin Ayala (PRACTICE OWNER) |
| Authorized Official Contact | 6123264856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skadi Sport Psychology 4900 Highway 169 N Ste 110 New Hope MN 55428-4032 Ph: (612) 208-2347 | Skadi Sport Psychology 4900 Highway 169 N Ste 110 New Hope MN 55428-4032 Ph: (612) 208-2347 |
| NPI Number | 1023829710 |
|---|---|
| Provider Enumeration Date | 01/14/2025 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023829710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Primary |
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