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Dr. SOFIANYELI COLON-REQUEJO PSYD, LP

Individual Provider (NPI-1) Active

Psychologist, Clinical

Provider Information

NPI Number
1962140194
Provider Type
Individual Provider (NPI-1)
Credentials
PSYD, LP
Status
Active

Contact & Location

Address
601 CARLSON PKWY, MINNETONKA, MN, 553055203
Phone
(323) 205-7088

Specialties & Taxonomies

Psychologist, Clinical Primary License: MN #LP6831
Psychologist License: MN #LP6831

All Addresses

LOCATION

601 CARLSON PKWY

MINNETONKA, MN, 553055203

(323) 205-7088

MAILING

15578 EMPRESS AVE N UNIT 5

HUGO, MN, 550384620

(787) 988-9790