Susan De Vries MA, LP

NPI 1427299023 - Psychologist - 103TF0000X

NPI Details
NPI 1427299023
Gender Female
Enumeration Date 03/12/2009
Last Updated 03/12/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
570 ASBURY ST
SUITE 310
SAINT PAUL MN, 55104-1849, US
Phone (651) 646-7010
Fax (651) 646-7668
Business Location
570 ASBURY ST
SUITE 310
SAINT PAUL MN, 55104-1849, US
Phone (651) 646-7010
Fax (651) 646-7668
Toxanomy
Taxonomy Code 103TF0000X
License State Minnesota
License Number LP 1035
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According to our database, Susan De Vries MA, LP NPI is 1427299023, taxonomy code is 103TF0000X and license number is LP 1035, license state is located at Minnesota. Susan De Vries MA, LP physically located at 570 Asbury St, Saint Paul MN, 55104-1849. NPI Number Susan De Vries MA, LP has the Individual type.

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1427299023 NPI number is provided on an as is basis without warranty of any kind. 1427299023 is maintained by the National Plan & Provider Enumeration System. The contents of Susan De Vries MA, LP are for informational purposes only.