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Individual

DR. PETER D MARSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, LP

Contact information

Practice address
81 S 9TH ST, SUITE 250, MINNEAPOLIS, MN 55402-3200
(612) 338-8398
(612) 338-8498
Mailing address
81 S 9TH ST, SUITE 250, MINNEAPOLIS, MN 55402-3200
(612) 338-8398
(612) 338-8498

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP0947
MN
103TF0200X
Forensic Psychologist
Primary
LP0947
MN

Other

Enumeration date
04/24/2008
Last updated
04/24/2008
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