Individual
DR. ASHA K. MUKHERJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
4205 LANCASTER LN N, SUITE 107, PLYMOUTH, MN 55441-1700
(763) 553-7820
(763) 383-0598
Mailing address
4205 LANCASTER LN N, SUITE 107, PLYMOUTH, MN 55441-1700
(763) 553-7820
(763) 383-0598
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1269
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102142
LIFERA PROV ID NO.
—
01
—
136932
UCARE PROV. ID
—
01
—
167287
COMPSYCH ID NO.
—
01
—
46702MU
BLUECROSSBLUESHIELD ID
—
01
—
6166758
UNITED BEH. HEALTH
—
01
—
990991020058
PREFD ONE & CIGNA ID
—
01
—
TAX ID NO.
FIRST HEALTH
—
Enumeration date
09/17/2006
Last updated
07/09/2007
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