John Matthew Healy PHD LP

NPI 1659580330 - Psychologist - 103TP2701X

NPI Details
NPI 1659580330
Gender Male
Enumeration Date 05/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3133 HENNEPIN AVE SO
MINNEAPOLIS MN, 55408, US
Phone (612) 296-3700
Fax (952) 285-7074
Business Location
3932 ALDRICH AVE SO
MINNEAPOLIS MN, 55409, US
Phone (612) 296-3700
Fax
Toxanomy
Taxonomy Code 103TP2701X
License State Minnesota
License Number LP4567
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According to our database, Dr. John Matthew Healy PHD LP NPI is 1659580330, taxonomy code is 103TP2701X and license number is LP4567, license state is located at Minnesota. John Matthew Healy PHD LP physically located at 3133 Hennepin Ave So, Minneapolis MN, 55408. NPI Number John Matthew Healy PHD LP has the Individual type.

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1659580330 NPI number is provided on an as is basis without warranty of any kind. 1659580330 is maintained by the National Plan & Provider Enumeration System. The contents of John Matthew Healy PHD LP are for informational purposes only.