Individual
TERRY LAWRENCE POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
675 NICOLLET BLVD EAST, BURNSVILLE, MN 55337-6741
(952) 993-3307
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6443
MN
Other
Enumeration date
08/18/2006
Last updated
05/24/2022
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