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Individual

DR. DAVE MINDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
702 N BLACKHAWK AVE STE 104, MADISON, WI 53705-3357
(608) 233-0657
(866) 746-7898
Mailing address
4322 UPLAND DR, MADISON, WI 53705-5041
(608) 233-0657
(866) 746-7898

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1812-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39105800
WI
Enumeration date
03/01/2006
Last updated
04/15/2014
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