Individual
DR. TERRYL RADDATZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
200 4TH AVE W, GOVERNMENT CENTER RM 300, SHAKOPEE, MN 55379-1220
(952) 496-8268
Mailing address
200 4TH AVE W, GOVERNMENT CENTER RM 300, SHAKOPEE, MN 55379-1220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2986
MN
Other
Enumeration date
07/19/2005
Last updated
07/08/2007
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