Individual
BRIAN EHRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
9531 W EST 78TH STREET, SUITE 110, EDEN PRAIRIE, MN 55344-3810
(612) 382-7670
(952) 944-1061
Mailing address
9531 W 78TH ST, SUITE 110, EDEN PRAIRIE, MN 55344-3810
(612) 382-7670
(952) 944-1061
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3312
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624522600
—
MN
Enumeration date
09/20/2006
Last updated
04/02/2010
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