Tracey Shoemaker MA, LP

NPI 1902902323 - Psychologist - 103TC0700X

NPI Details
NPI 1902902323
Gender Female
Enumeration Date 09/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1485 81ST AVE NE
SPRING LAKE PARK MN, 55432-2111, US
Phone (763) 780-3036
Fax
Business Location
5600 HOLIDAY RD
MINNETONKA MN, 55345-5417, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP3750
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According to our database, Tracey Shoemaker MA, LP NPI is 1902902323, taxonomy code is 103TC0700X and license number is LP3750, license state is located at Minnesota. Tracey Shoemaker MA, LP physically located at 1485 81st Ave Ne, Spring Lake Park MN, 55432-2111. NPI Number Tracey Shoemaker MA, LP has the Individual type.

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1902902323 NPI number is provided on an as is basis without warranty of any kind. 1902902323 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Shoemaker MA, LP are for informational purposes only.