Shores Therapy, LLC

NPI #1609255926 in Saint Paul, Minnesota

Provider Information

NPI Number: 1609255926
Entity Type: Organization
Organization Name: Shores Therapy, LLC
Primary Specialty: Psychologist
Enumeration Date: May 19, 2015
Last Updated: May 19, 2015

Practice Location

Address: 557 7TH ST W
City: Saint Paul
State: Minnesota
ZIP Code: 55102-3065
Phone: (651) 900-4808

Authorized Official

Name: DR. CRYSTAL SHORES, PSYD, LP
Title: PSYCHOLOGIST
Phone: (651) 900-4808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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