Individual
DR. LORI ELMER MIGDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
680 COMMERCE DR STE 260, WOODBURY, MN 55125-4502
(651) 395-9442
Mailing address
680 COMMERCE DR STE 260, WOODBURY, MN 55125-4502
(651) 395-9442
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
011396
MI
103TC0700X
Clinical Psychologist
Primary
LP5218
MN
103TC2200X
Clinical Child & Adolescent Psychologist
011396
MI
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
06/12/2006
Last updated
03/17/2018
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