Birchwood Therapy Services, Plc

NPI #1992110910 in Baxter, Minnesota

Provider Information

NPI Number: 1992110910
Entity Type: Organization
Organization Name: Birchwood Therapy Services, Plc
Primary Specialty: Psychologist
Enumeration Date: Jun 27, 2014
Last Updated: Dec 12, 2014

Practice Location

Address: 13968 CYPRESS DR STE 1A
City: Baxter
State: Minnesota
ZIP Code: 56425-5904
Phone: (218) 454-1082

Authorized Official

Name: DR. CAROLINE JANE BAD HEART BULL, PSY.D
Title: OWNER
Phone: (320) 291-6137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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