Psychological Consultants of So Mn PA
NPI #1841316015 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1841316015
- Entity Type
- Organization
- Organization Name
- Psychological Consultants of So Mn PA
- Primary Specialty
- Psychologist
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Apr 29, 2013
Practice Location
- Address
- 4663 WHITE BEAR PKWY
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3300
- Phone
- (612) 508-9309
Authorized Official
- Name
- PAUL REITMAN, PH.D.
- Title
- OWNER
- Phone
- (612) 508-9309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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