Individual
MS. CYNTHIA RUTH PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
821 RAYMOND AVE, SUITE 300, SAINT PAUL, MN 55114-1503
(612) 721-6886
(612) 721-2832
Mailing address
PO BOX 6668, MINNEAPOLIS, MN 55406-0668
(612) 721-6886
(612) 721-2832
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3495
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060T7NO
BLUE CROSS BLUE SHILD
MN
Enumeration date
02/07/2007
Last updated
07/08/2007
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