Organization Name: | STRATEGIES FOR MEANINGFUL LIVING, PC |
NPI Number: | 1275616534 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREA SZPORN (PRESIDENT) |
Mailing Address: | 4601 Excelsior Blvd Suite 507a Saint Louis Park |
State: | MN US |
Postal Code: | 554164960 |
Phone Number: | 6122405174 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 08/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP4402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |