Individual
MS. CINDY DOLBY NOLLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,L.P.
Contact information
Practice address
6600 FRANCE AVE S, SUITE 635, EDINA, MN 55435-1805
(952) 922-5427
(612) 922-4189
Mailing address
6600 FRANCE AVE. S, EDINA, MN 55435-1877
(952) 922-5427
(952) 922-9404
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LPO371
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-005-3617
FEDERAL TAX ID #
MN
Enumeration date
02/08/2007
Last updated
06/10/2009
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