Organization
INTEGRAL PSYCHOTHERAPY, LLC
Active
Organization
INTEGRAL PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GUSTAF THOMPSON PSY.D. (OWNER)
(612) 807-0388
Entity
Organization
Contact information
Practice address
3808 GRAND AVE S, MINNEAPOLIS, MN 55409-1233
(612) 807-0388
Mailing address
3808 GRAND AVE S, MINNEAPOLIS, MN 55409-1233
(612) 807-0388
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4807
MN
Other
Enumeration date
04/17/2007
Last updated
11/25/2011
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