Individual
LAURA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4050 OLSON MEMORIAL HWY STE 195, GOLDEN VALLEY, MN 55422-5345
(763) 454-4102
Mailing address
4050 OLSON MEMORIAL HWY STE 195, GOLDEN VALLEY, MN 55422-5345
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5810
MN
Other
Enumeration date
10/13/2014
Last updated
10/17/2014
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