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Thomas Bursack, M.A.L.P
NPI 1144503822 · on the registry since 2011 · sole proprietor
Practice
- Address
- 7515 Wayzata Blvd
Suite 210
St Louis Park, MN 55426 - Phone
- (763) 568-1773
- Organisation at this address
- Full Spectrum Psychotherapy, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota