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Individual

DR. ANN ELIZABETH LAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
7900 XERXES AVE S STE 1125, BLOOMINGTON, MN 55431-1112
(952) 854-2622
Mailing address
7900 XERXES AVE S STE 1125, BLOOMINGTON, MN 55431-1112
(952) 854-2622

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4426
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56M28LA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/08/2006
Last updated
06/01/2023
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