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Organization

RAYE MCPHILLIPS EYRICH, PH.D., L.P., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYE MCPHILLIPS EYRICH PH.D., L.P. (PSYCHOLOGIST)
(612) 203-8660
Entity
Organization

Contact information

Practice address
825 NICOLLET MALL STE 612, MINNEAPOLIS, MN 55402-2612
(612) 203-8660
(612) 659-1906
Mailing address
4721 HARRIET AVE, MINNEAPOLIS, MN 55419-5433
(612) 203-8660
(612) 659-1906

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LP0348
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036M6EY
BLUECROSS BLUESHIELD OF MINNESOTA
05
063709200
MN
01
26606
HEALTHPARTNERS
01
594721018854
PREFERRED ONE PPO
01
6164189
MEDICA
Enumeration date
06/27/2008
Last updated
06/27/2008
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