Individual
DR. TATYANA V. AVDEYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
7372 KIRKWOOD CT N, MAPLE GROVE, MN 55369-5202
(763) 416-4167
Mailing address
2285 STEWART AVE APT 2404, SAINT PAUL, MN 55116-3173
(651) 699-4190
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4809
MN
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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