Individual
MS. GAY ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
15 GROVELAND TERRACE, SUITE 305, MINNEAPOLIS, MN 55403
(952) 930-7546
(612) 374-4661
Mailing address
17538 70TH PLACE NORTH, MAPLE GROVE, MN 55311
(763) 496-1151
(763) 496-1307
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP1844
MN
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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