Organization
TERI A. WYLIE, M.A., LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI A WYLIE M.A., LP (CLINICAL PSYCHOLOGIST)
(651) 482-9361
Entity
Organization
Contact information
Practice address
900 LONG LAKE RD STE 320, NEW BRIGHTON, MN 55112-6439
(651) 482-9361
(651) 482-9888
Mailing address
900 LONG LAKE RD STE 320, NEW BRIGHTON, MN 55112-6439
(651) 482-9361
(651) 482-9888
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3760
MN
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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