Individual
DR. SHRUTI DASGUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP,PHD
Contact information
Practice address
649 DAYTON AVE., ST. PAUL, MN 55104-6631
(612) 436-4840
(612) 436-2604
Mailing address
649 DAYTON AVE., ST. PAUL, MN 55104-6631
(612) 436-4840
(612) 436-2604
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2012936
CA
103TC0700X
Clinical Psychologist
Primary
LP6919
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2016
Last updated
06/19/2023
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