Organization
PORDFORD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBRA A FORD PSYD, LP (PSYCHOLOGIST)
(952) 927-8528
Entity
Organization
Contact information
Practice address
5200 WILLSON RD, SUITE 309, EDINA, MN 55424-1332
(952) 927-8528
(612) 929-2327
Mailing address
5200 WILLSON RD, SUITE 309, EDINA, MN 55424-1332
(952) 927-8528
(612) 929-2327
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2846
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2410281
—
MN
Enumeration date
10/26/2007
Last updated
11/16/2007
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