DR. Bradley S Bengtson

NPI #1417255753 in Lino Lakes, Minnesota

Provider Information

NPI Number: 1417255753
Entity Type: Individual
Name: DR. Bradley S Bengtson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Counseling
Enumeration Date: Mar 10, 2011
Last Updated: Mar 10, 2011

Practice Location

Address: 33 VILLAGE PKWY
Address 2: SUITE 109
City: Lino Lakes
State: Minnesota
ZIP Code: 55014-4409
Phone: (612) 644-2502

Specialties & Taxonomy Codes

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

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