Olga Grun,phd,psyd, Llc

NPI 1225233406 - Psychologist - 103TC0700X

NPI Details
NPI 1225233406
Enumeration Date 06/18/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OLGA OLGA
Position CLINICAL PSYCHOLOGIST
Phone (651) 523-8808
Fax (651) 523-8811
Practice Location
1619 DAYTON AVE
SUITE 110
SAINT PAUL MN, 55104-6206, US
Phone (651) 523-8808
Fax (651) 523-8811
Business Location
1619 DAYTON AVE
SUITE 110
SAINT PAUL MN, 55104-6206, US
Phone (651) 523-8808
Fax (651) 523-8811
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP 4405
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According to our database, Olga Grun,phd,psyd, Llc NPI is 1225233406, taxonomy code is 103TC0700X and license number is LP 4405, license state is located at Minnesota. Olga Grun,phd,psyd, Llc physically located at 1619 Dayton Ave, Saint Paul MN, 55104-6206. NPI Number 1033115704 has the healthcare provider type.

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1225233406 NPI number is provided on an as is basis without warranty of any kind. 1225233406 is maintained by the National Plan & Provider Enumeration System. The contents of Olga Grun,phd,psyd, Llc are for informational purposes only.