Individual
PAUL JOSEPH HILDEBRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.
Contact information
Practice address
1485 81ST AVE NE, SPRING LAKE PARK, MN 55432-2111
(763) 780-3036
Mailing address
1485 81ST AVE NE, SPRING LAKE PARK, MN 55432-2111
(763) 780-3036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 1400
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7955550200
MEDICAL ASSISTANCE
MN
Enumeration date
11/01/2006
Last updated
07/08/2007
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