Individual
DR. BENJAMIN RYAN GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 883-1000
Mailing address
8170 33RD AVE S, P.O. BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-1000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5940
MN
Other
Enumeration date
10/28/2015
Last updated
02/12/2016
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