Individual
ADITYA VASAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2495 MAPLEWOOD DR N STE 312, MAPLEWOOD, MN 55109-1985
(651) 760-3109
(651) 967-9417
Mailing address
2495 MAPLEWOOD DR N STE 312, MAPLEWOOD, MN 55109-1985
(651) 760-3109
(651) 967-9417
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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