Organization
DEVELOPING MINDS PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL WATSON PHD (LICENSED PSYCHOLOGIST)
(612) 758-0583
Entity
Organization
Contact information
Practice address
3340 REPUBLIC AVE, ST LOUIS PARK, MN 55426-4154
(517) 977-6571
Mailing address
3340 REPUBLIC AVE STE 120, ST LOUIS PARK, MN 55426-4189
(612) 758-0583
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
LP6081
MN
Other
Enumeration date
06/08/2018
Last updated
11/08/2018
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