| International Psychological And Social Service Agency | |
|
1625 Park Ave Minneapolis MN 55404-1634 | |
| (612) 296-3622 | |
| (612) 588-9420 |
| Full Name | International Psychological And Social Service Agency |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1625 Park Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Robin L. Wetzel (DIRECTOR) |
| Authorized Official Contact | 6122963622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Psychological And Social Service Agency 1625 Park Ave Minneapolis MN 55404-1634 Ph: (612) 296-3622 | International Psychological And Social Service Agency 1625 Park Ave Minneapolis MN 55404-1634 Ph: (612) 296-3622 |
| NPI Number | 1962808790 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 11/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962808790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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