Derek Evan Prowe PSY.D.

NPI 1699924639 - Psychologist - 103T00000X

NPI Details
NPI 1699924639
Gender Male
Enumeration Date 09/15/2008
Last Updated 02/25/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
4749 CHICAGO AVE STE 1D
MINNEAPOLIS MN, 55407-4181, US
Phone (612) 656-9122
Fax
Business Location
4749 CHICAGO AVE STE 1D
MINNEAPOLIS MN, 55407-4181, US
Phone (612) 656-9122
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Derek Evan Prowe PSY.D. NPI is 1699924639, taxonomy code is 103T00000X Derek Evan Prowe PSY.D. physically located at 4749 Chicago Ave Ste 1d, Minneapolis MN, 55407-4181. NPI Number Derek Evan Prowe PSY.D. has the Individual type.

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1699924639 NPI number is provided on an as is basis without warranty of any kind. 1699924639 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Evan Prowe PSY.D. are for informational purposes only.