Individual
MS. MARTHA HERFURTH MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, L.P.
Contact information
Practice address
11010 PRAIRIE LAKES DR, SUITE 350, EDEN PRAIRIE, MN 55344-3884
(952) 746-2522
(952) 746-0887
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5322
MN
Other
Enumeration date
03/31/2011
Last updated
02/03/2012
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