Individual
MAX H HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3304 SHEPHERD HILLS DR, BLOOMINGTON, MN 55431-1541
(952) 835-0372
Mailing address
3304 SHEPHERD HILLS DR, BLOOMINGTON, MN 55431-1541
(952) 835-0372
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4509
MN
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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