Individual
DR. DEBORAH BUSHWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
PARKDALE PLAZA, 1660 SOUTH HWY 100, ST LOUIS PARK, MN 55427
(612) 385-2229
Mailing address
7310 RIDGEWAY RD, GOLDEN VALLEY, MN 55427
(612) 385-2229
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1712
MN
Other
Enumeration date
05/02/2007
Last updated
08/16/2007
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