Individual
NICHOLAS LEE STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
900 5TH ST STE 305, INTERNATIONAL FALLS, MN 56649-2200
(218) 283-3406
Mailing address
900 5TH ST STE 305, INTERNATIONAL FALLS, MN 56649-2200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5294
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322853300
—
MN
Enumeration date
09/08/2010
Last updated
09/08/2010
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