Individual
MR. BRENT ALLAN BETTERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-8511
Mailing address
4420 278TH ST. W., CASTLE ROCK, MN 55010-0493
(651) 460-6881
(612) 863-8516
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0259
MN
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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