Organization
CENTER FOR BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM WALTER DUFFY PH.D (EXECUTIVE DIRECTOR)
(651) 261-1571
Entity
Organization
Contact information
Practice address
2336 LEXINGTON AVE N, ROSEVILLE, MN 55113-4343
(651) 261-6571
(651) 765-4307
Mailing address
2336 LEXINGTON AVE N, ROSEVILLE, MN 55113-4343
(651) 261-6571
(651) 765-4307
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP0134
MN
Other
Enumeration date
05/22/2007
Last updated
11/07/2007
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