Bryan Ebert

NPI #1184445793 in St Anthony, Minnesota

Provider Information

NPI Number: 1184445793
Entity Type: Individual
Name: Bryan Ebert
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Counseling
Enumeration Date: Oct 17, 2024
Last Updated: Oct 17, 2024

Practice Location

Address: 2855 ANTHONY LN S
City: St Anthony
State: Minnesota
ZIP Code: 55418-3265
Phone: (952) 201-0128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary

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