Individual
DR. ROCHELLE ELIZABETH MCCOURTNEY GREDVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
13603 80TH CIR N, MAPLE GROVE, MN 55369-8961
(763) 274-3120
Mailing address
4913 KALENDA AVE NE, ALBERTVILLE, MN 55301-4613
(763) 464-3064
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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