Organization
YASMINE MOIDEEN, PHD, LP, LLC
Active
Organization
YASMINE MOIDEEN, PHD, LP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASMINE MOIDEEN PHD, LP (PRESIDENT)
(651) 484-0000
Entity
Organization
Contact information
Practice address
2332 LEXINGTON AVE N, ROSEVILLE, MN 55113-4336
(651) 484-0000
(651) 639-1314
Mailing address
2332 LEXINGTON AVE N, ROSEVILLE, MN 55113-4336
(651) 484-0000
(651) 639-1314
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3742
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190G8MO
BCBS
MN
01
—
61-50789
UBH
MN
01
—
LP3742
LICENSE - PSYCHOLOGIST
MN
Enumeration date
03/05/2007
Last updated
08/22/2020
Update your record
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