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Individual Provider (NPI-1) Active

Psychologist, Clinical

Provider Information

NPI Number
1609941889
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
8675 VALLEY CREEK ROAD, WOODBURY, MN, 551252337
Phone
(651) 241-3000
Fax
(651) 241-3500

Specialties & Taxonomies

Psychologist, Clinical Primary License: MN #3943

All Addresses

MAILING

2455 HAMPSHIRE CT

MENDOTA HEIGHTS, MN, 551201900

LOCATION

8675 VALLEY CREEK ROAD

WOODBURY, MN, 551252337

(651) 241-3000