Individual
DR. DEANNA LYNN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
CENTER FOR SEXUAL HEALTH, 1300 2ND AVENUE SOUTH, SUITE 180, MINNEAPOLIS, MN 55455
(612) 625-1500
Mailing address
CENTER FOR SEXUAL HEALTH, 1300 2ND AVENUE SOUTH, SUITE 180, MINNEAPOLIS, MN 55455
(612) 625-1500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4588
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044539
PREFERRED ONE
MN
01
—
61-94799
MEDICA CHOICE
MN
05
—
664495300
—
MN
01
—
HP54842
HEALTHPARTNERS
MN
Enumeration date
06/26/2006
Last updated
07/09/2007
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