Individual
DR. ARTHUR JAY LEBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3808 GRAND AVE S, MINNEAPOLIS, MN 55409-1233
(952) 451-2817
(651) 796-0206
Mailing address
3808 GRAND AVE S, MINNEAPOLIS, MN 55409-1233
(952) 451-2817
(651) 796-0206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP1812
MN
103TC0700X
Clinical Psychologist
Primary
LP1812
MN
103TP0814X
Psychoanalysis Psychologist
LP1812
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203250300
—
MN
Enumeration date
11/29/2006
Last updated
01/18/2018
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