Individual
CANDICE JEAN NADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
13100 WAYZATA BLVD, MINNETONKA, MN 55305-1802
(952) 546-0616
(952) 593-1778
Mailing address
2509 KELLY AVE, EXCELSIOR, MN 55331-9574
(952) 212-0275
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP4625
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D87NA 4H557GI LLP
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/01/2006
Last updated
07/08/2007
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