Organization · Type 2 NPI
Saba Ghazimoghadam, Ph.d., Lp, LLC
Adult Mental Health Clinic/Center · Minnetrista, MN
NPI number
1083111389
Active
Practice location
6582 Willow Ct
Minnetrista, MN 55364-8630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | LP5561 (MN) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1083111389
Saba Ghazimoghadam, Ph.d., Lp, LLC's National Provider Identifier is 1083111389, issued on Apr 12, 2018. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Minnetrista, MN. The record was last updated on Apr 12, 2018.