Individual
JOSHUA TIMOTHY MEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
10567 165TH ST W, LAKEVILLE, MN 55044-3523
(952) 767-9374
(855) 538-0663
Mailing address
10567 165TH ST W, LAKEVILLE, MN 55044-3523
(957) 767-9374
(855) 538-0663
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5553
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790062438
—
MN
Enumeration date
11/09/2011
Last updated
03/12/2025
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