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Individual

DR. SIGNE LEE NESTINGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY. D.

Contact information

Practice address
2301 COMO AVE # 203, SAINT PAUL, MN 55108-1718
(651) 690-2667
(651) 645-8026
Mailing address
2301 COMO AVE # 203, SAINT PAUL, MN 55108-1718
(651) 690-2667
(651) 645-8026

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP1544
MN
103TC0700X
Clinical Psychologist
Primary
LP1544
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12917NE
BLUE CROSS BLUE SHIELD
MN
01
34289
HEALTH PARTNERS
MN
01
6281969
MEDICA
MN
Enumeration date
08/30/2006
Last updated
06/11/2008
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