Individual
MIRIAM LEAH FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
800 E 28TH ST FL 6, MINNEAPOLIS, MN 55407-3723
(612) 863-5327
(612) 863-2596
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP6490
MN
103TC2200X
Clinical Child & Adolescent Psychologist
PSB 35417
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY28166
CA
Other
Enumeration date
09/16/2010
Last updated
02/06/2020
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