Individual
CINDI BROCKHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
13603 80TH CIR N, MAPLE GROVE, MN 55369
(763) 274-3120
Mailing address
2855 CAMPUS DR STE 660, PLYMOUTH, MN 55441-2665
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6079
MN
Other
Enumeration date
07/11/2016
Last updated
03/11/2021
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