Michael James Ferrarese PHD, LP

NPI 1093868747 - Psychologist - 103TC0700X

NPI Details
NPI 1093868747
Gender Male
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4635 NICOLS RD
SUITE 200
SAINT PAUL MN, 55122-3337, US
Phone (952) 431-6862
Fax
Business Location
4635 NICOLS RD
SUITE 200
SAINT PAUL MN, 55122-3337, US
Phone (952) 431-6862
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP0140
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According to our database, Dr. Michael James Ferrarese PHD, LP NPI is 1093868747, taxonomy code is 103TC0700X and license number is LP0140, license state is located at Minnesota. Michael James Ferrarese PHD, LP physically located at 4635 Nicols Rd, Saint Paul MN, 55122-3337. NPI Number Michael James Ferrarese PHD, LP has the Individual type.

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1093868747 NPI number is provided on an as is basis without warranty of any kind. 1093868747 is maintained by the National Plan & Provider Enumeration System. The contents of Michael James Ferrarese PHD, LP are for informational purposes only.