The Beacon Clinic, Pllc
NPI #1023357175 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1023357175
- Entity Type
- Organization
- Organization Name
- The Beacon Clinic, Pllc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Feb 10, 2013
- Last Updated
- Aug 7, 2013
Practice Location
- Address
- 790 CLEVELAND AVE S
- Address 2
- SUITE 201
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55116-3858
- Phone
- (651) 805-1752
Authorized Official
- Name
- DR. HEATHER P LIBBEY, PHD
- Title
- LICENSED PSYCHOLOGIST/DIRECTOR
- Phone
- (651) 805-1752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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