Individual
DR. STEVEN DAVID THURBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1125 6TH STREET SE, WOODLAND CENTERS, WILLMAR, MN 56201-4675
(320) 231-9148
(320) 231-9140
Mailing address
249 23RD ST SE, WILLMAR, MN 56201
(320) 235-4613
(320) 231-9140
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4451
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033545
PREFERRED ONE
—
01
—
172111
UCARE
—
01
—
51M33TH
BC
—
01
—
61 38779
UBH
—
Enumeration date
12/06/2006
Last updated
07/08/2007
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