Individual
MR. BRAD WILLIAM HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
5019 38TH AVE S, MINNEAPOLIS, MN 55417-1662
(612) 308-7038
Mailing address
5019 38TH AVE S, MINNEAPOLIS, MN 55417-1662
(612) 308-7038
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4812
MN
Other
Enumeration date
05/17/2007
Last updated
03/19/2024
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