Impact Psychology Pllc

NPI #1164923843 in Woodbury, Minnesota

Provider Information

NPI Number: 1164923843
Entity Type: Organization
Organization Name: Impact Psychology Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 27, 2018
Last Updated: Feb 27, 2018

Practice Location

Address: 724 BIELENBERG DRIVE
Address 2: SUITE 4
City: Woodbury
State: Minnesota
ZIP Code: 55125-5512
Phone: (651) 204-4034

Authorized Official

Name: DR. JASON ECKERMAN, PSYD
Title: CLINICAL PSYCHOLOGIST
Phone: (651) 204-4034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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