Ashley Anomalay

Individual provider Active NPI Marriage & Family Therapist · Eagan, MN

NPI 1134415219 · NPPES record last updated Jun 27, 2011

Key facts

NPI
1134415219
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
1980 (MN)
Practice address
3450 Oleary LN
Eagan, MN 55123-2340
Phone
(651) 365-8249
Fax
(651) 454-0114
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1980MNMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1980 MN Yes

Addresses

Primary practice location

3450 Oleary LN
Eagan, MN 55123-2340

Mailing address

3450 Oleary LN
Eagan, MN 55123-2340

Other providers in Eagan, MN

All providers in Eagan, MN · Marriage & Family Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.