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Organization

NATIONAL INITIATIVES FOR HEALTHY YOUTH

Active
Other names
Forensic Psychological Services for Youth
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENDA MARIE FRYE PH.D. (EXECUTIVE DIRECTOR)
(763) 229-2753
Entity
Organization

Contact information

Practice address
7948 QUAIL AVE N, BROOKLYN PARK, MN 55443-2423
(763) 568-7340
Mailing address
7948 QUAIL AVE N, BROOKLYN PARK, MN 55443-2423
(763) 568-7340

Taxonomy

Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
CC003709
MN

Other

Enumeration date
08/13/2012
Last updated
08/13/2012
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