Perkins, Theodore

Perkins, Theodore is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd Park Nicollet Clinic Slp, St Louis Park MN 55416. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Perkins, Theodore can be contacted via phone (952) 993-5911.

Contact Information

Primary practice address
3800 Park Nicollet Blvd Park Nicollet Clinic Slp St Louis Park MN 55416
Phone: (952) 993-5911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3590 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LADC 300151 Minnesota

Profile Details

NPI number 1467436774
LBN Legal business name Perkins, Theodore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

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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