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Individual

SCOT MONTGOMERY HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LP

Contact information

Practice address
1900 SILVER LAKE RD NW, SUITE 115, NEW BRIGHTON, MN 55112-1786
(651) 628-4993
(651) 379-1772
Mailing address
1900 SILVER LAKE RD NW, SUITE 115, NEW BRIGHTON, MN 55112-1786
(651) 628-4993
(651) 379-1772

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2075
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
683753100
MN
Enumeration date
07/24/2006
Last updated
02/27/2017
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