| Yasmine Moideen, Phd, Lp, Llc | |
|
2332 Lexington Ave N Roseville MN 55113-4336 | |
| (651) 484-0000 | |
| (651) 639-1314 |
| Full Name | Yasmine Moideen, Phd, Lp, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2332 Lexington Ave N, Roseville, Minnesota |
| Authorized Official Name and Position | Yasmine Moideen (PRESIDENT) |
| Authorized Official Contact | 6514840000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yasmine Moideen, Phd, Lp, Llc 2332 Lexington Ave N Roseville MN 55113-4336 Ph: (651) 484-0000 | Yasmine Moideen, Phd, Lp, Llc 2332 Lexington Ave N Roseville MN 55113-4336 Ph: (651) 484-0000 |
| NPI Number | 1588793723 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588793723 | NPI | - | NPPES |
| LP3742 | Other | MN | LICENSE - PSYCHOLOGIST |
| 61-50789 | Other | MN | UBH |
| 190G8MO | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP3742 (Minnesota) | Primary |
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