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NPI Code Detail

MEDICARE: SAMMEN PSYCHOTHERAPY, PLLC

MEDICARE: SAMMEN PSYCHOTHERAPY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor1551MN

General Provider Information

NPI Number : 1427445410
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMMEN PSYCHOTHERAPY, PLLC
Provider Business Mailing Address
First Line : 1484 ASHLAND AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-7433
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 970 RAYMOND AVE
Second Line : STE 200
City : SAINT PAUL
State : MN
Zip : 55114-1146
Country : US
Telephone Number : 651-233-7665
Fax Number :
Authorized Official
Title or Position : THERAPIST/OWNER
Name : SONJA KROMROY
Credential : MA, LPC
Telephone Number : 651-233-7665
Provider Enumeration Date : 04/17/2015
Last Update Date : 04/17/2015

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Directions to “SAMMEN PSYCHOTHERAPY, PLLC ” Practice Location

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