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Contact Information

DOUGLAS J LATUSECK, PSYD, LP
7525 4TH AVE
LINO LAKES, MN55014-1006
 Phone: 651-717-6549
 Fax: 651-717-6697
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DOUGLAS J LATUSECK · (Male)

NPI # 1528264488
Status Active
Credentials PSYD, LP
Entity Individual
Enumeration date 06/26/2007
Last updated 11/28/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # LP4822
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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