Individual
STACY RAE FREIHEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3300 EDINBOROUGH WAY, SUITE 650, EDINA, MN 55435-5923
(952) 854-2622
Mailing address
3551 SAWGRASS TRAIL WEST, EAGAN, MN 55123
(651) 955-6738
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4554
MN
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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