Individual
GERALD J AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2312 S 6TH ST, SUITE F256/2B W, MINNEAPOLIS, MN 55454-1336
(612) 672-6600
Mailing address
2312 S 6TH ST, SUITE F256/2B W, MINNEAPOLIS, MN 55454-1336
(612) 672-6600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 0331
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1014364
PREFERRED ONE
MN
01
—
102715
UCARE
MN
01
—
61-39920
MEDICA
MN
01
—
768003
ARAZID
MN
01
—
8D916AU
BLUE CROSS BLUE SHIELD
MN
01
—
HP28809
HEALTHPARTNERS
MN
Enumeration date
10/25/2006
Last updated
07/09/2007
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