Parkside Psychology, Inc.
NPI #1114175791 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1114175791
- Entity Type
- Organization
- Organization Name
- Parkside Psychology, Inc.
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Sep 8, 2008
- Last Updated
- Sep 8, 2008
Practice Location
- Address
- 2124 DUPONT AVE S
- Address 2
- 104
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55405-2700
- Phone
- (612) 871-4336
Authorized Official
- Name
- DR. SALLY RUTH MOORE, PSY. D
- Title
- PSYCHOLOGIST/OWNER
- Phone
- (612) 871-4336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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