Individual
DR. ROBERT HAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.,L.P.
Contact information
Practice address
3450 OLEARY LN, EAGAN, MN 55123-2340
(651) 454-0114
(651) 454-3492
Mailing address
11613 KENNELLY CIR, BURNSVILLE, MN 55337-3275
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1061
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101979
UCARE
MN
01
—
56918HA
BCBS
MN
01
—
61-29087
UBH
MN
01
—
HP18974
HEALTHPARTNERS
MN
Enumeration date
10/10/2006
Last updated
07/08/2007
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