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Individual

DR. PHILLIP B HABER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S, PSY.D.

Contact information

Practice address
155 5TH AVE S, SUITE 450, MINNEAPOLIS, MN 55401-2540
(612) 333-2155
(612) 333-5517
Mailing address
155 5TH AVE S, SUITE 450, MINNEAPOLIS, MN 55401-2540
(612) 333-2155
(612) 333-5517

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
LP1655
MN

Other

Enumeration date
04/03/2007
Last updated
07/08/2007
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