Teri A. Wylie, M.a., Lp | |
900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 | |
(651) 482-9361 | |
(651) 482-9888 |
Full Name | Teri A. Wylie, M.a., Lp |
---|---|
Speciality | Psychologist - Clinical |
Location | 900 Long Lake Rd Ste 320, New Brighton, Minnesota |
Authorized Official Name and Position | Teri A Wylie (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6514829361 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Teri A. Wylie, M.a., Lp 900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 Ph: (651) 482-9361 | Teri A. Wylie, M.a., Lp 900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 Ph: (651) 482-9361 |
NPI Number | 1750654612 |
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Provider Enumeration Date | 02/22/2012 |
Last Update Date | 02/22/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750654612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP3760 (Minnesota) | Primary |
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