Individual
DR. SOFIANYELI COLON-REQUEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
601 CARLSON PKWY, MINNETONKA, MN 55305-5203
(323) 205-7088
Mailing address
15578 EMPRESS AVE N UNIT 5, HUGO, MN 55038-4620
(787) 988-9790
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP6831
MN
103TC0700X
Clinical Psychologist
Primary
LP6831
MN
Other
Enumeration date
05/26/2022
Last updated
05/15/2025
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