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Individual

JAMES PRESTON VIKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, LP

Contact information

Practice address
4027 COUNTY ROAD 25, ST LOUIS PARK, MN 55416
(612) 925-6033
(612) 925-8496
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1304
MN

Other

Enumeration date
01/25/2019
Last updated
01/25/2019
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