Individual
MARINA ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
2136 FORD PKWY # 8147, SAINT PAUL, MN 55116-1863
(612) 712-4987
Mailing address
6040 OAKLAND AVE, MINNEAPOLIS, MN 55417-3118
(831) 239-6916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
6460
MN
Other
Enumeration date
06/01/2015
Last updated
10/06/2021
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