W Wade PHD LP LLC
NPI #1477859940 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1477859940
- Entity Type
- Organization
- Organization Name
- W Wade PHD LP LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 1, 2011
- Last Updated
- Feb 1, 2011
Practice Location
- Address
- 4500 PARK GLEN RD
- Address 2
- SUITE 270
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4871
- Phone
- (952) 929-9478
Authorized Official
- Name
- DR. WENDY ANN WADE, PHD LP
- Title
- OWNER
- Phone
- (612) 385-6392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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