Individual
DR. MAINHIA KHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1350 ENERGY LN STE 215, SAINT PAUL, MN 55108-5501
(651) 212-4877
(651) 212-4872
Mailing address
1350 ENERGY LN STE 215, SAINT PAUL, MN 55108-5501
(651) 212-5088
(651) 212-4872
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6273
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821356098
—
MN
Enumeration date
04/25/2012
Last updated
06/12/2024
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