Individual
MS. PAMELA MARIE HAAS COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
300 S 6TH ST, A-14, MINNEAPOLIS, MN 55487-0999
(612) 596-1223
Mailing address
525 PORTLAND AVE, MC 965, MINNEAPOLIS, MN 55415-1533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5077
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306073234
MHCP
MN
Enumeration date
06/18/2009
Last updated
09/22/2014
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