Individual
TERRI E BLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
91 SNELLING AVE N, SAINT PAUL, MN 55104-6753
(612) 979-2276
(651) 925-0427
Mailing address
3528 WIDGEON WAY, EAGAN, MN 55123-1003
(651) 252-1184
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4864
MN
Other
Enumeration date
12/27/2017
Last updated
10/22/2025
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