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Individual

SCOTT BEAZLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2450 RIVERSIDE AVE, WEST BUILDING, F29, MINNEAPOLIS, MN 55454-1450
(612) 273-6868
Mailing address
2450 RIVERSIDE AVE, WEST BUILDING, F29, MINNEAPOLIS, MN 55454-1450
(612) 273-6868

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/17/2010
Last updated
01/20/2017
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