Individual
DR. GEORGE ABRAHAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1678 SELBY AVE, SAINT PAUL, MN 55104-6149
(651) 647-5722
(651) 647-5723
Mailing address
1678 SELBY AVE, SAINT PAUL, MN 55104-6149
(651) 647-5722
(651) 647-5723
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0704
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59315AB
BLUE CROSSBLUE SHIELD
MN
Enumeration date
11/10/2006
Last updated
07/08/2007
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