Grunzke-Lynner, Nicole Paige

Grunzke-Lynner, Nicole Paige is an sole proprietor health care provider with primary practice located at 2388 University Ave W #207, Saint Paul MN 55114-1769. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grunzke-Lynner, Nicole Paige can be contacted via phone (952) 210-1360.

Contact Information

Primary practice address
2388 University Ave W #207 Saint Paul MN 55114-1769
Phone: (952) 210-1360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4347 Minnesota

Profile Details

NPI number 1437106770
LBN Legal business name Grunzke-Lynner, Nicole Paige
Credentials PSY.D., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Jan 9th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437106770 NPPES
Minnesota Other 557344100 MEDICAL ASSISTANCE
Minnesota Other 156M3GR MEDICAL ASSISTANCE
Minnesota Other 6142042 MEDICAL ASSISTANCE
Minnesota Other 61-42042 MEDICAL ASSISTANCE

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