DR. Anastasia Sullwold Ristau, PHD LP

NPI #1124049903 in Chaska, Minnesota

Provider Information

NPI Number: 1124049903
Entity Type: Individual
Name: DR. Anastasia Sullwold Ristau, PHD LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD LP
Enumeration Date: Jul 21, 2006
Last Updated: Nov 10, 2020

Practice Location

Address: 111 HUNDERTMARK RD STE 205N
City: Chaska
State: Minnesota
ZIP Code: 55318-1586
Phone: (952) 903-1350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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