NPI 1053979435

McGovern Psychotherapy, LLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) St Louis Park, MN

Practice location

Address: 3340 Republic Ave STE 120, St Louis Park, MN 55426-4189
Phone: (612) 564-8897

Authorised official

Name: Amanda Rachel McGovern
Title: Owner
Phone: (551) 486-5221

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

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Registry record

NPI: 1053979435
Entity type: Organization
NPI issued: 31 May 2019
Record last updated: 31 May 2019

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.