Individual
STEPHEN CARL PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED LP
Contact information
Practice address
2497 7TH AVE E, BHSI LLC STE 101, NORTH ST PAUL, MN 55109-2496
(651) 769-6400
(651) 769-6449
Mailing address
2497 7TH AVE E, BHSI LLC STE 101, NORTH ST PAUL, MN 55109-2496
(651) 769-6437
(651) 769-6426
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1998
MN
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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