Individual
DR. SETH GORDON DISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
1 VETERANS DR # B68-2, MINNEAPOLIS, MN 55417-2309
(612) 629-7349
Mailing address
2506 GRAND AVE S, MINNEAPOLIS, MN 55405-3436
(310) 560-5990
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6451
MN
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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