Developing Minds Psychology, PLLC

Clinic/Center in St Louis Park, MN. Organization (NPI-2).

NPI number1780177337

StatusActive

Last updated in NPPESNov 8, 2018

Details

NPI: 1780177337
Entity type: Organization (NPI-2)
Legal business name: Developing Minds Psychology, PLLC
Organization subpart: No
Enumeration date: Jun 8, 2018
Last updated: Nov 8, 2018

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261Q00000X	Clinic/Center	LP6081	MN	Yes

Practice location

3340 Republic Ave
St Louis Park, MN 55426-4154

Phone 517-977-6571

Mailing address

3340 Republic Ave Ste 120
St Louis Park, MN 55426-4189

Phone 612-758-0583

Authorized official

Gabriel Watson
Licensed Psychologist
6127580583

Is something wrong?

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Other Clinic/Center providers in St Louis Park, MN

All 12 Clinic/Center providers in St Louis Park · All 3,529 providers in St Louis Park

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