Organization
ST. CLOUD NEUROBEHAVIORAL ASSOCIATES, PA
Active
Organization
ST. CLOUD NEUROBEHAVIORAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE L VOGEL (OFFICE MANAGER)
(320) 253-3833
Entity
Organization
Contact information
Practice address
3812 8TH ST N STE 200, SAINT CLOUD, MN 56303-1421
(320) 253-3833
(320) 253-5741
Mailing address
PO BOX 230, SARTELL, MN 56377-0230
(320) 253-3833
(320) 253-5741
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C03196
—
MN
Enumeration date
09/19/2019
Last updated
09/19/2019
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