Akiko Tanaka, Phd, LP, LLC
Community/Behavioral Health in Saint Paul, MN. Organization (NPI-2).
NPI number1346657970
StatusActive
Last updated in NPPESFeb 1, 2017
Details
- NPI
- 1346657970
- Entity type
- Organization (NPI-2)
- Legal business name
- Akiko Tanaka, Phd, LP, LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2014
- Last updated
- Feb 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | LP5699 | MN | Yes |
Practice location
333 Grand AveSuite 213
Saint Paul, MN 55102-2582
Phone 612-547-9170
Mailing address
333 Grand AveSuite 213
Saint Paul, MN 55102-2582
Phone 612-547-9170
Authorized official
Akiko Tanaka
Owner
6125479170
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