Theodore Surdy PHD LP

NPI 1063463347 - Psychologist - 103TC0700X

NPI Details
NPI 1063463347
Gender Male
Enumeration Date 05/12/2006
Last Updated 10/14/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
600 REED ST
SUITE 112
MANKATO MN, 56001-6410, US
Phone (507) 625-4060
Fax (507) 625-3915
Business Location
16200 560TH LN
GOOD THUNDER MN, 56037-2199, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP3385
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According to our database, Dr. Theodore Surdy PHD LP NPI is 1063463347, taxonomy code is 103TC0700X and license number is LP3385, license state is located at Minnesota. Theodore Surdy PHD LP physically located at 600 Reed St, Mankato MN, 56001-6410. NPI Number Theodore Surdy PHD LP has the Individual type.

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1063463347 NPI number is provided on an as is basis without warranty of any kind. 1063463347 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Surdy PHD LP are for informational purposes only.