Individual
BRENT THOMSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
8455 FLYING CLOUD DR, STE 200, EDEN PRAIRIE, MN 55344-3974
(952) 993-7400
Mailing address
6465 WAYZATA BLVD, STE 315, MINNEAPOLIS, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0673
MN
Other
Enumeration date
12/30/2005
Last updated
07/08/2007
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