Psychological Healthcare of Minnesota PA
NPI #1821241340 in Eden Prairie, Minnesota
Provider Information
- NPI Number
- 1821241340
- Entity Type
- Organization
- Organization Name
- Psychological Healthcare of Minnesota PA
- Primary Specialty
- Psychologist
- Enumeration Date
- Oct 28, 2008
- Last Updated
- Mar 9, 2009
Practice Location
- Address
- 15798 VENTURE LN
- City
- Eden Prairie
- State
- Minnesota
- ZIP Code
- 55344-5729
- Phone
- (952) 920-2789
Authorized Official
- Name
- DR. DOUGLAS GUTHRIE FREY, PH.D.
- Title
- PRESIDENT
- Phone
- (952) 920-2789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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