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Contact Information

IRENE D BUGGE, PHD
15245 PLEASANT VALLEY RD
CENTER CITY, MN55012-9640
 Phone: 651-213-4184
 Fax: 651-213-4411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for IRENE D BUGGE · (Female)

NPI Number 1093863649
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LP0701
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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