Organization
MONIZA PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE R. MONIZA LP (PSYCHOLOGIST)
(612) 964-7946
Entity
Organization
Contact information
Practice address
11900 WAYZATA BLVD, SUITE 132, MINNETONKA, MN 55305-2031
(952) 236-6188
Mailing address
13389 GRANADA AVE, APPLE VALLEY, MN 55124-7619
(612) 964-7946
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4570
MN
Other
Enumeration date
01/31/2010
Last updated
01/31/2010
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