Individual
DR. JOHN DAVID MCCLAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
1804 W 50TH ST, MINNEAPOLIS, MN 55419-1001
(612) 927-7335
(612) 927-4259
Mailing address
5501 MOUNT NORMANDALE DR, BLOOMINGTON, MN 55437-1013
(952) 835-4510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP-2475
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11046MC
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/19/2005
Last updated
07/08/2007
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