Individual
CINDY RAE MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
8590 EDINBURGH CENTER DR, BROOKLYN PARK, MN 55443-3723
(763) 425-5959
(763) 425-5929
Mailing address
1214 LOWRY AVE N, MINNEAPOLIS, MN 55411-1370
(612) 910-1035
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0094
MN
103T00000X
Psychologist
LPOO94
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A818440000
—
MN
Enumeration date
03/02/2021
Last updated
03/02/2021
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