Clinical Psychopharmacology Consultants, PA
Organization Active NPI Adult Mental Health Clinic/Center · St Louis Park, MN
NPI 1508053273 · NPPES record last updated Sep 26, 2007
Key facts
- NPI
- 1508053273
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- License
- 17068 (MN)
- Legal business name
- CLINICAL PSYCHOPHARMACOLOGY CONSULTANTS, PA
- Practice address
- 3601 Park Center Blvd
Suite 207
St Louis Park, MN 55416-2531 - Phone
- (952) 926-3364
- Fax
- (952) 926-3369
- NPI assigned
- Sep 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Faruk Said Abuzzahab Sr., MD, PHD
- Title
- President/Owner
- Phone
- (952) 926-3364
Practitioners 2
-
Faruk Said Abuzzahab Sr., M.D., PHD
-
John Ernest Simon, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 17068 | MN | Yes |
Addresses
Primary practice location
3601 Park Center Blvd
Suite 207
St Louis Park, MN 55416-2531
Mailing address
3601 Park Center Blvd
Suite 207
St Louis Park, MN 55416-2531
Phone (952) 926-3364
Other names
- CPC, PA
Other providers in St Louis Park, MN
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- Elise Anne Clemens
- Gerri Lee Clements
- Sarah Clewett
- Melissa Kaye Coble
- Katherine Coffey-Dietz
- Jill Christine Coggins
- Elissa A Cohen
- Jacob Cohen
All providers in St Louis Park, MN · Adult Mental Health Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.