Individual
DR. RICHARD JOSEPH VENJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
3450 OLEARY LN, EAGAN, MN 55123-2340
(651) 454-0114
(651) 454-3492
Mailing address
793 SUNSET DR, EAGAN, MN 55123-2082
(651) 681-1961
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0862
MN
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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