Individual
DR. JOHN ROBERT DEMOTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6311
(320) 255-6326
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6311
(320) 255-6326
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0129
MN
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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