Song, Iris
Song, Iris is an sole proprietor health care provider with primary practice located at 7979 Ranchview Ln N , Maple Grove MN 55311-2106. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Song, Iris can be contacted via phone (612) 203-8027.Contact Information
Primary practice address
7979 Ranchview Ln N
Maple Grove MN 55311-2106
Phone: (612) 203-8027
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP5547 | Minnesota |
Profile Details
| NPI number | 1790180503 |
|---|---|
| LBN Legal business name | Song, Iris |
| Credentials | PSY.D., L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2014 |
| Last updated | Oct 23rd, 2014 - about 10 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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