Individual
DR. PETER ANDREW ZELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
235 FAIRVIEW AVE S, SAINT PAUL, MN 55105-1551
(651) 698-8745
Mailing address
235 FAIRVIEW AVE S, SAINT PAUL, MN 55105-1551
(651) 698-8745
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1673
WI
103TC0700X
Clinical Psychologist
Primary
LP1383
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508750300
—
MN
Enumeration date
06/24/2005
Last updated
09/11/2009
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