Individual
WILLIAM MENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 800-7693
Mailing address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 800-7693
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6705
MN
Other
Enumeration date
04/22/2018
Last updated
05/05/2022
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