Organization
BONNIE G. RESNICK, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE RESNICK (OWNER)
(651) 686-8818
Entity
Organization
Contact information
Practice address
4141 OLD SIBLEY MEMORIAL HWY, EAGAN, MN 55122-1996
(651) 686-8818
Mailing address
4141 OLD SIBLEY MEMORIAL HWY, EAGAN, MN 55122-1996
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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