Individual
JOHN T LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5325 GRAND AVE S, MINNEAPOLIS, MN 55419-1358
(612) 226-2785
Mailing address
5325 GRAND AVE S, MINNEAPOLIS, MN 55419-1358
(612) 226-2785
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP2942
MN
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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