| Shawn Hofer, Phd, Lp | |
|
900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 | |
| (651) 482-9361 | |
| (651) 482-9888 |
| Full Name | Shawn Hofer, Phd, Lp |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 900 Long Lake Rd Ste 320, New Brighton, Minnesota |
| Authorized Official Name and Position | Shawn L Hofer (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6514829361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Hofer, Phd, Lp 900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 Ph: (651) 482-9361 | Shawn Hofer, Phd, Lp 900 Long Lake Rd Ste 320 New Brighton MN 55112-6439 Ph: (651) 482-9361 |
| NPI Number | 1376816488 |
|---|---|
| Provider Enumeration Date | 02/21/2012 |
| Last Update Date | 02/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376816488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP4695 (Minnesota) | Primary |
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