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Organization

STEPHEN M. HJEMBOE, PH.D., LLC

Active
Other names
St. Paul Psychology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN MARK HJEMBOE PH.D. (PROPRIETOR)
(651) 776-2648
Entity
Organization

Contact information

Practice address
570 ASBURY ST, SUITE 208, SAINT PAUL, MN 55104-1849
(651) 776-2648
(651) 778-1458
Mailing address
54 BATES AVE, SAINT PAUL, MN 55106-6339
(651) 776-2648
(651) 778-1458

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3086
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
705714800
MN
01
HP22394
HEAL THPARTNERS
MN
Enumeration date
03/14/2011
Last updated
01/10/2012
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