Individual
DR. JOHN CHARLES PUCEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1481 25TH ST SE, SAINT CLOUD, MN 56304-9500
(320) 253-5405
(320) 203-8387
Mailing address
1481 25TH ST SE, SAINT CLOUD, MN 56304-9500
(320) 253-5405
(320) 203-8387
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2005
MN
Other
Enumeration date
04/27/2008
Last updated
04/27/2008
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