Individual
DR. GREGG A EICHENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
235 FAIRVIEW AVE S, SAINT PAUL, MN 55105-1551
(651) 659-9715
(651) 603-8528
Mailing address
1836 IGLEHART AVE, SAINT PAUL, MN 55104-3522
(651) 659-9715
(651) 603-8528
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0229
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264053800
—
MN
Enumeration date
11/28/2006
Last updated
11/22/2019
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