Individual
EILEEN BURINGRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LP
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3363
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016132
P1
MN
01
—
116002
UC
MN
01
—
20326
HP
MN
01
—
500T3BU
BCBS
MN
01
—
62-57116
UBH
MN
Enumeration date
07/22/2006
Last updated
07/08/2007
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