Individual
HALIE ROSTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
2712 FREMONT AVENUE S, MINNEAPOLIS, MN 55408
(612) 872-8218
(612) 874-8885
Mailing address
316 E MAIN STREET, ANOKA, MN 55303
(612) 872-8218
(612) 874-8885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 5697
MN
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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