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Contact Information

DENISE R GUDVANGEN, LP
603 BRUCE ST
CROOKSTON, MN56716
 Phone: 218-281-3940
 Fax: 218-281-6261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DENISE R GUDVANGEN · (Female)

NPI Number 1508835141
Status Active
Credentials LP
Entity Individual
Enumeration date 03/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 3957
  • Other HP28754 HEALTH PARTNERS
  • MN Other 41B43JA BCBS OF MN
  • MN Other 123671 UCARE MINNESOTA
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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