Individual
DR. TERREL BACKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
2712 FREMONT AVE S, MINNEAPOLIS, MN 55408-1122
(612) 872-8218
Mailing address
2333 NEAL AVE S, AFTON, MN 55001-9765
(651) 276-1787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5908
MN
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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