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Organization

OLGA GRUN,PHD,PSYD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLGA GRUN PHD, PSYD (CLINICAL PSYCHOLOGIST)
(651) 523-8808
Entity
Organization

Contact information

Practice address
1619 DAYTON AVE, SUITE 110, SAINT PAUL, MN 55104-6206
(651) 523-8808
(651) 523-8811
Mailing address
1619 DAYTON AVE, SUITE 110, SAINT PAUL, MN 55104-6206
(651) 523-8808
(651) 523-8811

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 4405
MN

Other

Enumeration date
06/18/2007
Last updated
08/22/2020
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