Sally R Brinza PHD LP LLC

NPI #1972802361 in Maple Grove, Minnesota

Provider Information

NPI Number: 1972802361
Entity Type: Organization
Organization Name: Sally R Brinza PHD LP LLC
Primary Specialty: Psychologist
Enumeration Date: Mar 24, 2011
Last Updated: Mar 24, 2011

Practice Location

Address: 7225 FORESTVIEW LN N
City: Maple Grove
State: Minnesota
ZIP Code: 55369-5501
Phone: (612) 978-5058

Authorized Official

Name: SALLY ROSE BRINZA, PHD
Title: PSYCHOLOGIST
Phone: (612) 978-5058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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