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Contact Information

DOCTOR V LLC
2002 CROMELL DRIVE
HOPE HOUSE OF ITASCA COUNTY
LA PRAIRIE, MN55744
 Phone: 218-398-3502
 Fax: 218-326-4390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DOCTOR V LLC · (Female)

NPI Number 1912311333
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2014
Last updated 07/14/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 5574
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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