Individual
DR. DOUGLAS J LATUSECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
7525 4TH AVE, LINO LAKES, MN 55014-1006
(651) 717-6549
(651) 717-6697
Mailing address
7525 4TH AVE, LINO LAKES, MN 55014-1006
(651) 717-6549
(651) 717-6697
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4822
MN
Other
Enumeration date
06/26/2007
Last updated
11/28/2007
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