Individual
GREGORY R SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
1801 AMERICAN BLVD E STE 1, BLOOMINGTON, MN 55425-1230
(952) 767-7222
Mailing address
2400 W 64TH ST, RICHFIELD, MN 55423-1001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6448
MN
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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