Organization
CYNTHIA J. HAAKANA, LLC
Active
Other names
Cynthia J. Haakana, Ph.D., L.P.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA JANE HAAKANA PH.D. (OWNER)
(952) 928-0618
Entity
Organization
Contact information
Practice address
4500 PARK GLEN RD STE 155, ST LOUIS PARK, MN 55416-4888
(952) 928-0618
Mailing address
4500 PARK GLEN RD STE 155, ST LOUIS PARK, MN 55416-4888
(952) 928-0618
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1056
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393050500
—
MN
Enumeration date
03/31/2015
Last updated
03/31/2015
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