John W Robertson-Smith
Psychologist, Clinical in Minneapolis, MN. Individual provider (NPI-1).
NPI number1235271925
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235271925
- Entity type
- Individual (NPI-1)
- Name
- John W Robertson-Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | LP2010 | MN | Yes |
Practice location
1801 Nicollet AveMinneapolis, MN 55403-3793
Phone 612-596-0900
Mailing address
1454 Roselawn Ave WFalcon Heights, MN 55113-5850
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