Organization
MAIDMAN-JOSHUA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE MADIMAN PSYD LP (LICENSED PSYCHOLOGIST)
(952) 926-4554
Entity
Organization
Contact information
Practice address
5200 WILLSON RD STE 150, EDINA, MN 55424-1300
(952) 926-4554
(952) 836-2730
Mailing address
5200 WILLSON RD STE 150, EDINA, MN 55424-1300
(952) 926-4554
(952) 836-2730
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1361
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235276791
NPI
MN
Enumeration date
01/03/2012
Last updated
01/03/2012
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