Doctor Name: | SALLY ANN SALES |
NPI Number: | 1902927684 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CPRP |
License Number: | |
Business Practice Address: | 5510 W Broadway Ave Suite 112a Crystal, MN - 554283577 |
Business Phone Number: | 6127528302 |
Business Fax Number: | |
Mailing Address: | 4129 Brookside Ave, ST LOUIS PARK |
State: | MN |
Postal Code: | 554163110 |
Phone Number: | 6123270214 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |