Organization
FUTUREBRAIN SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN MASON PH.D (OWNER)
(612) 378-2363
Entity
Organization
Contact information
Practice address
5240 W LAKE NOKOMIS PKWY, MINNEAPOLIS, MN 55417-1857
(612) 378-2363
(612) 378-2363
Mailing address
5240 W LAKE NOKOMIS PKWY, MINNEAPOLIS, MN 55417-1857
(612) 378-2363
(612) 378-2363
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2385
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057547000
—
MN
Enumeration date
03/19/2008
Last updated
06/03/2008
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