Individual
CLARE T HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0376
NH
103G00000X
Clinical Neuropsychologist
9562
MA
103G00000X
Clinical Neuropsychologist
Primary
LP7042
MN
103TC0700X
Clinical Psychologist
9562
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094861A
—
MA
Enumeration date
06/19/2009
Last updated
08/12/2024
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