STANLEY BRUNSDALE THIELE MA, LP, LMFT
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1851628341- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MA, LP, LMFT
- Status
- Active
Contact & Location
- Address
- 4027 COUNTY ROAD 25, MINNEAPOLIS, MN, 554162629
- Phone
- (612) 925-6033
- Fax
- (612) 925-8496
Specialties & Taxonomies
Psychologist, Clinical
Primary License: MN #LP5140
Marriage & Family Therapist
License: MN #3707