Individual
DR. NATHAN RYAN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.
Contact information
Practice address
1041 GRAND AVE # 325, SAINT PAUL, MN 55105-3002
(651) 231-9936
(651) 647-5723
Mailing address
1041 GRAND AVE # 325, SAINT PAUL, MN 55105-3002
(651) 231-9936
(651) 647-5723
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP5397
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528343738
—
MN
01
—
680003248
MEDICARE PTAN
MN
Enumeration date
10/19/2011
Last updated
05/31/2024
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