Derek Prowe LLC
NPI #1083074371 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1083074371
- Entity Type
- Organization
- Organization Name
- Derek Prowe LLC
- Primary Specialty
- Psychologist
- Enumeration Date
- Feb 29, 2016
- Last Updated
- Feb 29, 2016
Practice Location
- Address
- 4749 CHICAGO AVE
- Address 2
- SUITE 1D
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55407-3556
- Phone
- (612) 656-9122
Authorized Official
- Name
- DEREK EVAN PROWE, PSYD
- Title
- OWNER
- Phone
- (612) 656-9122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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