Individual
LOUIS STEPHEN BARTHOLOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LP
Contact information
Practice address
11000 PRAIRIE LAKES DR, SUITE 610, EDEN PRAIRIE, MN 55344-3885
(952) 746-6164
(952) 942-5141
Mailing address
11000 PRAIRIE LAKES DR, SUITE 610, EDEN PRAIRIE, MN 55344-3885
(952) 746-6164
(952) 942-5141
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1392
MN
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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