Individual
ANTHONY ODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP, ABPP
Contact information
Practice address
15600 36TH AVE N STE 140, PLYMOUTH, MN 55446-3372
(763) 308-5772
(612) 392-7974
Mailing address
15600 36TH AVE N STE 140, PLYMOUTH, MN 55446-3372
(763) 308-5772
(612) 392-7974
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP5884
MN
Other
Enumeration date
06/11/2015
Last updated
08/13/2022
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