| Twin Cities Play Therapy Center, LLC | |
|
3440 Federal Dr Suite 140 Eagan MN 55122-3501 | |
| (651) 452-2305 | |
| (651) 452-2796 |
| Full Name | Twin Cities Play Therapy Center, LLC |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3440 Federal Dr, Eagan, Minnesota |
| Authorized Official Name and Position | Shawn Michael Bulgatz (OWNER) |
| Authorized Official Contact | 6514522305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Cities Play Therapy Center, LLC 3440 Federal Dr Suite 140 Eagan MN 55122-3501 Ph: (651) 452-2305 | Twin Cities Play Therapy Center, LLC 3440 Federal Dr Suite 140 Eagan MN 55122-3501 Ph: (651) 452-2305 |
| NPI Number | 1013925312 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013925312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (NU) | Primary |
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