Unknown Individual – Clinical Psychologist, NPI 1104992940
Clinical Psychologist
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3100, West Lake Street, Cedar-Isles-Dean, Minneapolis, Hennepin County, Minnesota, 55416, United States
SUITE 210
MINNEAPOLIS, MN 554164527
Phone: (612) 925-6033
Fax: (612) 925-8496
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55416)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | WI | |
| - | MN | |
| - | MN | |
| - | MN | |
| Clinical Psychologist | MN | |
| Clinical Social Worker | MN | |
| Certified Clinical Nurse Specialist (Cns) | MN |
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