Brad W Houghton Psyd LP LLC
NPI #1639588643 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1639588643
- Entity Type
- Organization
- Organization Name
- Brad W Houghton Psyd LP LLC
- Primary Specialty
- Point of Service
- Enumeration Date
- Aug 5, 2014
- Last Updated
- Aug 5, 2014
Practice Location
- Address
- 821 RAYMOND AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55114-1532
- Phone
- (651) 645-8300
Authorized Official
- Name
- BRAD WILLIAM HOUGHTON, PSYD LP
- Title
- OWNER
- Phone
- (612) 308-7038
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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