Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

The Compassion Boutique PC

Organization Clinical Psychologist · NPI 1457175267

The Compassion Boutique PC is a Clinical Psychologist in St Louis Park, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4500 Park Glen Rd Ste 450
St Louis Park, MN 55416-5190
Phone: (952) 259-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1457175267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Wagner — Ceo · (952) 295-9099
Other names The Compassion Boutique
NPI enumeratedNovember 9, 2024
Last updated in NPPESNovember 9, 2024
Certification dateNovember 9, 2024
Mailing address4500 Park Glen Rd Ste 450, St Louis Park, MN 55416-5190

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