Individual
JEFFRY ALAN COTTLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA, LP
Contact information
Practice address
4164 HEMLOCK LN, SAINT PAUL, MN 55127-6111
(651) 308-7176
Mailing address
4164 HEMLOCK LN, SAINT PAUL, MN 55127-6111
(651) 308-7176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0480
MN
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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