Individual
MR. THOMAS PAUL MILLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA, LPP
Contact information
Practice address
6120 EARLE BROWN DR, SUITE 200, BROOKLYN CENTER, MN 55430-2123
(763) 566-0088
(763) 566-0089
Mailing address
9522 HILLSIDE DR, CHAMPLIN, MN 55316-2618
(612) 226-3600
(763) 566-0089
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0107
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107
MN LICENSE #
MN
Enumeration date
04/13/2006
Last updated
07/08/2007
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