Individual
DR. THIDA HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
280 SMITH AVE N STE 220, SAINT PAUL, MN 55102
(651) 241-8295
(651) 241-7300
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 241-8295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
6252
MN
103T00000X
Psychologist
Primary
6252
MN
103TC0700X
Clinical Psychologist
6252
MN
Other
Enumeration date
04/22/2013
Last updated
03/11/2021
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