Individual
TEENA MOY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
2500 COMO AVE, MAIL STOP 31100A, ST PAUL, MN 55108-1460
(651) 641-6200
(651) 641-6205
Mailing address
8100 34TH AVE S, BLOOMINGTON, MN 55425-1672
(952) 883-5463
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0954
MN
Other
Enumeration date
01/31/2006
Last updated
07/08/2007
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