Individual
MEGAN DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 229NORTH, SAINT PAUL, MN 55114-1052
(651) 645-3115
(651) 645-2752
Mailing address
2550 UNIVERSITY AVE W, SUITE 229NORTH, SAINT PAUL, MN 55114-1052
(651) 645-3115
(651) 645-2752
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1994
MN
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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