Individual
DR. JULIE A LUNDE SEVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
530 E 2ND ST, DULUTH CLINIC FITNESS AND THERAPY CENTER, DULUTH, MN 55805
(218) 786-1561
(218) 786-1561
Mailing address
402 E 2ND ST, DULUTH, MN 55805-1906
(218) 786-5410
(218) 786-1561
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4629
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
478M1LU
BCBS OF MN
MN
05
—
510022400
—
MN
Enumeration date
03/14/2006
Last updated
02/23/2012
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