Individual
ROBYN GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
680 PROFESSIONAL DR, NORTHFIELD, MN 55057-2755
(507) 663-0237
(507) 663-1180
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071-004153
IL
103T00000X
Psychologist
2032
CO
103T00000X
Psychologist
Primary
LP4256
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679487400
—
MN
Enumeration date
04/14/2006
Last updated
03/11/2021
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