Provider Demographics
NPI:1962802041
Name:PAULINE SVARE
Entity type:Organization
Organization Name:PAULINE SVARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BASED THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:APRIL
Authorized Official - Last Name:SVARE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:763-229-1283
Mailing Address - Street 1:7700 ABBOTT AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-2839
Mailing Address - Country:US
Mailing Address - Phone:763-229-1283
Mailing Address - Fax:
Practice Address - Street 1:7700 ABBOTT AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-2839
Practice Address - Country:US
Practice Address - Phone:763-229-1283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2394251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health