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Individual

DR. ELLEN K. DONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D., LP

Contact information

Practice address
4828 XERXES AVE S, MINNEAPOLIS, MN 55410-1816
(612) 922-3698
(612) 922-3698
Mailing address
4828 XERXES AVE S, MINNEAPOLIS, MN 55410-1816
(612) 922-3698
(612) 922-3698

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4133
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060K0DO
BCBS
MN
01
1020744
P1
MN
01
129846
UC
MN
01
26238
HP
MN
05
288323600
MN
01
61-38365
UBH
MN
Enumeration date
07/14/2006
Last updated
02/14/2012
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