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Individual

DR. MATTHEW GENE JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3400
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
5427
MN
103TC0700X
Clinical Psychologist
Primary
5427
MN
103TC2200X
Clinical Child & Adolescent Psychologist
5427
MN

Other

Enumeration date
11/18/2011
Last updated
03/17/2018
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