Individual
DR. DEAN Y. CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1751 SOUTHCROSS DR W, BURNSVILLE, MN 55306-7012
(952) 892-7690
(952) 898-4930
Mailing address
1751 SOUTHCROSS DR W, BURNSVILLE, MN 55306-7012
(952) 892-7690
(952) 898-4930
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5489
MN
Other
Enumeration date
08/26/2009
Last updated
01/03/2013
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