Panopoulos, Georgia E

Panopoulos, Georgia E is an individual health care provider with primary practice located at 2621 Greenhaven Rd , Anoka MN 55303-5566. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Panopoulos, Georgia E can be contacted via phone (763) 587-4488.

Contact Information

Primary practice address
2621 Greenhaven Rd Anoka MN 55303-5566
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4025 Minnesota

Profile Details

NPI number 1578537692
LBN Legal business name Panopoulos, Georgia E
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578537692 NPPES
Minnesota MEDICAID 571513000

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