Individual
THOMAS EDWARD HARBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
7362 UNIVERSITY AVE NE, SUITE 209, FRIDLEY, MN 55432-3142
(612) 825-4407
(612) 825-0768
Mailing address
3108 HENNEPIN AVE S, MINNEAPOLIS, MN 55408-2619
(612) 825-8322
(612) 825-8322
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1947
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
952050300
—
MN
Enumeration date
09/22/2006
Last updated
08/05/2008
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