Kingsbury, Matthew
Kingsbury, Matthew is an individual health care provider with primary practice located at 11316 86Th Ave N , Maple Grove MN 55369-4528. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kingsbury, Matthew can be contacted via phone (763) 400-8000.Contact Information
Primary practice address
11316 86Th Ave N
Maple Grove MN 55369-4528
Phone: (763) 400-8000
Fax: (763) 400-8000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP6684 | Minnesota |
Profile Details
| NPI number | 1104224120 |
|---|---|
| LBN Legal business name | Kingsbury, Matthew |
| Credentials | PSYD, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2014 |
| Last updated | Jul 12th, 2022 - about 2 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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