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Individual

MS. ELIZABETH ANN BUHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD LP

Contact information

Practice address
600 25TH AVE S, SUITE 109 ROOSEVELT OFFICE PARK, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318
Mailing address
600 25TH AVE S, SUITE 109 ROOSEVELT OFFICE PARK, SAINT CLOUD, MN 56301-4841
(320) 255-0343
(320) 654-0318

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4637
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
097H4BU
BCBS
01
1046154
PREFERRED ONE
01
138102
UCARE
05
567607000
MN
01
HP59542
HEALTH PARTNERS
Enumeration date
06/17/2006
Last updated
11/01/2011
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