Organization
PEGGY MAKI PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY SUSAN MAKI (OWNER AND PSYCHOLOGIST)
(612) 819-2750
Entity
Organization
Contact information
Practice address
10520 WAYZATA BLVD, #100, MINNETONKA, MN 55305-1511
(612) 819-2750
Mailing address
10520 WAYZATA BLVD, #100, MINNETONKA, MN 55305-1511
(612) 819-2750
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 5729
MN
Other
Enumeration date
02/17/2014
Last updated
06/26/2014
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