The Community Circle, PLLC
Psychiatry & Neurology, Psychiatry in Burnsville, MN. Organization (NPI-2).
NPI number1043545189
StatusActive
Last updated in NPPESOct 7, 2009
Details
- NPI
- 1043545189
- Entity type
- Organization (NPI-2)
- Legal business name
- The Community Circle, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2009
- Last updated
- Oct 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 49576 | MN | Yes |
| 103K00000X | Behavior Analyst | 1-03-1206 | FL |
Practice location
14300 Nicollet CtSuite 207
Burnsville, MN 55306-4501
Phone 952-898-7578 · Fax 952-898-7592
Mailing address
14300 Nicollet CtSuite 207
Burnsville, MN 55306-4501
Phone 952-898-7578 · Fax 952-898-7592
Authorized official
Ruth M. Myers
Psychiatrist
9528987578
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