Pediatric & Family Psychology Center PA
NPI #1104826510 in North Saint Paul, Minnesota
Provider Information
- NPI Number
- 1104826510
- Entity Type
- Organization
- Organization Name
- Pediatric & Family Psychology Center PA
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jul 28, 2005
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 2440 N CHARLES STREET
- Address 2
- SUITE 236
- City
- North Saint Paul
- State
- Minnesota
- ZIP Code
- 55109-3050
- Phone
- (651) 771-4766
Authorized Official
- Name
- DR. C L MOORE, PHD
- Title
- OWNER
- Phone
- (651) 771-4766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Marriage & Family Therapist |
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