Individual
ROSS E GUBRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1821 UNIVERSITY AVE W STE 461-9, SAINT PAUL, MN 55104-2801
(612) 421-3178
(612) 421-3183
Mailing address
3501 XENIUM LN N APT 123, MINNEAPOLIS, MN 55441-2222
(612) 421-3178
(612) 421-3183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5984
MN
Other
Enumeration date
03/29/2017
Last updated
08/15/2024
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