Individual
DR. MIRANDA RENAE VERTNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
Contact information
Practice address
8600 EAGLE CREEK PKWY, SAVAGE, MN 55378-1284
(952) 746-7664
Mailing address
8600 EAGLE CREEK PKWY, SAVAGE, MN 55378-1284
(952) 746-7664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5286
MN
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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