NPI 1023723004
Tina Watson Therapy
Practice location
- Address
- 9393 55th St N, Lake Elmo, MN 55042-8505
- Phone
- (651) 283-4153
Authorised official
- Name
- Tina R Wiens
- Title
- Owner
- Phone
- (651) 283-4153
Registered specialties
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Registry record
- NPI
- 1023723004
- Entity type
- Organization
- NPI issued
- 13 Jan 2023
- Record last updated
- 13 Jan 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.