Individual
GERARD BERNARD FOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LP
Contact information
Practice address
2550 UNIVERSITY AVENUE W, SUITE 229N, ST PAUL, MN 55114
(651) 645-3115
(651) 645-2752
Mailing address
2550 UNIVERSITY AVENUE W, SUITE 229N, ST PAUL, MN 55114
(651) 645-3115
(651) 645-2752
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4591
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393G0FO
BCBS
MN
Enumeration date
07/16/2006
Last updated
07/08/2007
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