Organization · Type 2 NPI

Blossom Towne Enterprises

Psychologist · Lake Elmo, MN

NPI number 1336301894 Active

Practice location

8615 Eagle Point Blvd
Lake Elmo, MN 55042-8628

Fax (651) 264-0447

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP-1196 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1336301894

Blossom Towne Enterprises's National Provider Identifier is 1336301894, issued on Jun 26, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Lake Elmo, MN. The record was last updated on Jun 26, 2008.