Individual
ZACHARY BELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
3795 PILOT KNOB RD, EAGAN, MN 55122-3176
(952) 595-5652
Mailing address
3795 PILOT KNOB RD, EAGAN, MN 55122-3176
(952) 595-5652
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP7105
MN
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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