Paul Leslie Berry PHD LP

NPI 1265519656 - Psychologist - 103TC0700X

NPI Details
NPI 1265519656
Gender Male
Enumeration Date 11/01/2006
Last Updated 06/23/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
413 WACOUTA STREET
SUITE 550
ST PAUL MN, 55101, US
Phone (651) 225-9222
Fax (651) 225-9224
Business Location
413 WACOUTA STREET
SUITE 550
ST PAUL MN, 55101, US
Phone (651) 225-9222
Fax (651) 225-9224
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number 2319
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According to our database, Paul Leslie Berry PHD LP NPI is 1265519656, taxonomy code is 103TC0700X and license number is 2319, license state is located at Minnesota. Paul Leslie Berry PHD LP physically located at 413 Wacouta Street, St Paul MN, 55101. NPI Number Paul Leslie Berry PHD LP has the Individual type.

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1265519656 NPI number is provided on an as is basis without warranty of any kind. 1265519656 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Leslie Berry PHD LP are for informational purposes only.