Individual
DR. NAKISA ASHLEY KHOSHNEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LP
Contact information
Practice address
7300 147TH ST W STE 204, APPLE VALLEY, MN 55124-7850
(952) 997-3020
(952) 997-3026
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
LP6382
MN
Other
Enumeration date
08/11/2016
Last updated
01/05/2022
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