Leanne C Goth M.A., L.P.

NPI 1174641377 - Psychologist - 103T00000X

NPI Details
NPI 1174641377
Gender Female
Enumeration Date 03/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3300 OAKDALE AVE N
ROBBINSDALE MN, 55422-2926, US
Phone (763) 520-1396
Fax (763) 257-0073
Business Location
4717 OXBOROUGH GDNS
BROOKLYN PARK MN, 55443-3994, US
Phone (763) 425-3636
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Minnesota
License Number LP4081
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According to our database, Ms. Leanne C Goth M.A., L.P. NPI is 1174641377, taxonomy code is 103T00000X and license number is LP4081, license state is located at Minnesota. Leanne C Goth M.A., L.P. physically located at 3300 Oakdale Ave N, Robbinsdale MN, 55422-2926. NPI Number Leanne C Goth M.A., L.P. has the Individual type.

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1174641377 NPI number is provided on an as is basis without warranty of any kind. 1174641377 is maintained by the National Plan & Provider Enumeration System. The contents of Leanne C Goth M.A., L.P. are for informational purposes only.