Dr. Brad Ryan Nederostek, Psy.D.
Psychologist, Health in Minneapolis, MN. Individual provider (NPI-1).
NPI number1407129786
StatusActive
Last updated in NPPESFeb 16, 2012
Details
- NPI
- 1407129786
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brad Ryan Nederostek
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2012
- Last updated
- Feb 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TH0004X | Psychologist, Health | – | – | Yes |
Practice location
1300 S 2nd StSuite 180
Minneapolis, MN 55454-1075
Phone 612-625-1500
Mailing address
4301 Park Glen RdApartment 132
Saint Louis Park, MN 55416-4783
Phone 610-533-1911
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