Individual
RICHARD J DIPRIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 229-3994
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 229-3994
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP4638
MN
103TC0700X
Clinical Psychologist
LP4638
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293609700
—
MN
Enumeration date
10/20/2006
Last updated
06/25/2015
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