Individual
MAREN HART MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD LP
Contact information
Practice address
2324 UNIVERSITY W AVE 120, SAINT PAUL, MN 55114-1854
(651) 644-4100
Mailing address
2324 UNIVERSITY W AVE 120, SAINT PAUL, MN 55114-1854
(651) 644-4100
(651) 644-4885
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4624
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111026800
—
MN
Enumeration date
07/13/2006
Last updated
08/07/2015
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