Individual
BRITT NICOLE SHACKELFORD WESSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
3503 HIGH POINT DRIVE N, BLDG 3, SUITE 230, OAKDALE, MN 55128-6158
(612) 787-7050
(612) 844-2784
Mailing address
3503 HIGH POINT DRIVE N, BLDG 3, SUITE 230, OAKDALE, MN 55128-6158
(612) 787-7050
(612) 844-2784
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5297
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301108000
—
MN
Enumeration date
07/09/2010
Last updated
04/24/2020
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