Individual
PATRICIA A STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
2908 HUMBOLDT AVE S, MINNEAPOLIS, MN 55408-1953
(612) 825-2685
(612) 354-7398
Mailing address
2908 HUMBOLDT AVE S, MINNEAPOLIS, MN 55408-1953
(612) 825-2685
(612) 354-7398
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0206
MN
Other
Enumeration date
08/19/2006
Last updated
04/17/2008
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