Joe Groninga, PsyD
Psychologist in Saint Paul, MN. Individual provider (NPI-1).
NPI number1528343449
StatusActive
Last updated in NPPESOct 12, 2011
Details
- NPI
- 1528343449
- Entity type
- Individual (NPI-1)
- Name
- Joe Groninga
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2011
- Last updated
- Oct 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 5400 | MN | Yes |
Practice location
2383 University Ave WSuite 200
Saint Paul, MN 55114-1603
Phone 651-644-4100 · Fax 651-644-4885
Mailing address
2383 University Ave WSuite 200
Saint Paul, MN 55114-1603
Phone 651-644-4100 · Fax 651-644-4885
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