Individual
DR. TANYA HOLTHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
Contact information
Practice address
6600 FRANCE AVE S, EDINA, MN 55435-1805
(952) 460-9038
Mailing address
3500 TEXAS AVE S, SAINT LOUIS PARK, MN 55426-4037
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5682
MN
Other
Enumeration date
10/18/2013
Last updated
03/21/2016
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