Individual
MAUREEN ANNE GERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-7888
(612) 813-7199
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-7888
(612) 813-7199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6053
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2015
Last updated
12/13/2019
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