Individual
DR. JOY PAMELA PICCOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
12940 HARRIET AVE S, SUITE 250, BURNSVILLE, MN 55337-2680
(952) 435-4074
(952) 435-6074
Mailing address
12940 HARRIET AVE S, SUITE 250, BURNSVILLE, MN 55337-2680
(952) 435-4074
(952) 435-6074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP4179
MN
103TC0700X
Clinical Psychologist
Primary
LP4179
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5572177-00
—
MN
Enumeration date
10/04/2006
Last updated
04/10/2014
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