National Provider Identifier Database

CEDAR VALLEY CENTER FOR CHILD FAMILY THERAPY PLLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

CEDAR VALLEY CENTER FOR CHILD & FAMILY THERAPY, PLLC
3460 WASHINGTON DR.
SUITE 110
EAGAN, MN55122
Phone: 651-688-0488
Fax: 844-700-2814
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for CEDAR VALLEY CENTER FOR CHILD & FAMILY THERAPY, PLLC

NPI Number 1518362193
Legal business name
LBN
CEDAR VALLEY CENTER FOR CHILD & FAMILY THERAPY, PLLC
Authorized official MEGAN OUDEKERK - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/25/2014
Last updated 04/01/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 1852

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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