Individual
DR. BRIAN HOWARD ROSCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD LP
Contact information
Practice address
17489 DODD BLVD, LAKEVILLE, MN 55044-6506
(952) 428-1020
(952) 428-1025
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6431
MN
Other
Enumeration date
06/30/2017
Last updated
05/16/2024
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