Individual
DR. GEORGE V KOMARIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.. LP
Contact information
Practice address
11 CIVIC CENTER PLZ STE 2090, MANKATO, MN 56001-7710
(507) 345-4679
(507) 345-8685
Mailing address
11 CIVIC CENTER PLZ STE 205, MANKATO, MN 56001-7718
(507) 345-4679
(507) 345-8685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1673
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264547500
—
MN
Enumeration date
02/22/2008
Last updated
11/29/2023
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