Individual
DELORES A DINZEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
1310 E HIGHWAY 96, SUITE 200, WHITE BEAR LAKE, MN 55110-3483
(651) 426-3071
(651) 426-3095
Mailing address
1772 SKILLMAN AVE W, ROSEVILLE, MN 55113-5620
(651) 647-1900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3582
MN
Other
Enumeration date
09/16/2006
Last updated
07/12/2007
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