Individual
MR. DAVID ALLAN DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTERS OF ARTS
Contact information
Practice address
3332 21ST AVE S, MINNEAPOLIS, MN 55407-2412
(612) 296-9444
Mailing address
3332 21ST AVE S, MINNEAPOLIS, MN 55407-2412
(612) 296-9444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2840
MN
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004399432
AETNA INS. CO.
MN
01
—
030822002
METROPLIITANHEALTHPLAN
MN
01
—
123475
BEHAVIORALHEALTHCAREPROVI
MN
01
—
2347539-00
MINNESOTA CARE
MN
05
—
234753900
—
MN
01
—
57332-DU
BLUECROSS/BLUESHIELD MN
MN
01
—
6276558
UNITEDBEHAVIORALHEALTH
MN
Enumeration date
06/25/2005
Last updated
10/21/2022
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