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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