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NPI Code Detail

MEDICARE: PAIGE LYNN HENDRICKSON

MEDICARE: PAIGE LYNN HENDRICKSON
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
1106H00000XMarriage & Family Therapist4600MN

General Provider Information

NPI Number : 1730039025
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE LYNN HENDRICKSON
Provider Business Mailing Address
First Line : 3249 GEORGIA AVE S
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55426-3409
Country : US
Telephone Number : 612-889-3398
Fax Number :
Provider Business Practice Location Address
First Line : 475 CLEVELAND AVE N STE 316
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-5051
Country : US
Telephone Number : 612-889-3398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “ PAIGE LYNN HENDRICKSON ” Practice Location

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