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Organization

BETTE MAGYAR JOHNSON CONSULTING, INC.

Active
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Organization

BETTE MAGYAR JOHNSON CONSULTING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BETTE MAGYAR JOHNSON PH.D. (PRESIDENT)
(952) 404-2610
Entity
Organization

Contact information

Practice address
430 OAK STREET, SUITE 403, MINNEAPOLIS, MN 55403
(612) 871-8684
(612) 871-2374
Mailing address
205 BARRY AVE S, #321, WAYZATA, MN 55391-1655
(952) 404-2610

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2862
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113885
UCARE
MN
01
525850200
MEDICAL ASSISTANCE
MN
01
6145828
MEDICA-UBH
MN
01
62093JO
BCBS
MN
Enumeration date
07/27/2009
Last updated
07/27/2009
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