OrganizationActive
Clinical Psychopharmacology Consultants, PA
NPI 1508053273 · Adult Mental Health Clinic/Center · St Louis Park, MN
Provider details
- NPI number
- 1508053273
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Faruk Abuzzahab, President/Owner
- License
- 17068 (MN)
Practice location
3601 Park Center Blvd
Suite 207
St Louis Park, MN 55416-2531
Phone: (952) 926-3364
Fax: (952) 926-3369
Mailing address
3601 Park Center Blvd
St Louis Park, MN 55416-2531
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2007-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.