Individual
J.PAMELA WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.,L.P.
Contact information
Practice address
3100 W LAKE ST, SUITE 410, MINNEAPOLIS, MN 55416-4527
(612) 822-9770
(612) 823-6090
Mailing address
3100 W LAKE ST, SUITE 410, MINNEAPOLIS, MN 55416-4527
(612) 822-9770
(612) 823-6090
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2434
MN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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