Individual
MR. MICHAEL JAMES O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.EQ.
Contact information
Practice address
2375 UNIVERSITY AVE W, SUITE 160, SAINT PAUL, MN 55114-1631
(651) 642-1709
(651) 642-0150
Mailing address
2375 UNIVERSITY AVE W, SUITE 160, SAINT PAUL, MN 55114-1631
(651) 642-1709
(651) 642-0150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1988
MN
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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