Individual
PATRICK GERAGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSE, LP
Contact information
Practice address
3450 OLEARY LN, EAGAN, MN 55123-2340
(651) 454-0114
Mailing address
7751 HARVEST DR, ELKO, MN 55020-8524
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1942
MN
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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