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Organization

ELIZABETH A. BUHL, PSY.D., LP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH A BUHL PSY.D., LP (PSYCHOLOGIST)
(320) 493-3664
Entity
Organization

Contact information

Practice address
600 25TH AVE S, SUITE 109 ROOSEVELT OFFICE PARK, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318
Mailing address
600 25TH AVE S, SUITE 109 ROOSEVELT OFFICE PARK, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4637
MN
251S00000X
Community/Behavioral Health Agency
LP4637
MN

Other

Enumeration date
11/08/2011
Last updated
11/08/2011
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