VERNON T DEVINE CP

Dr VERNON T DEVINE CP is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1971.

Contact

4500 PARK GLEN RD
SUITE 270
SAINT LOUIS PARK
MN
554165826

Tel: 9529299478

VERNON T DEVINE CP Information

Npi 1457443582
Pac Id 2365480191
Professional Enrollment Id I20050421000562
Last Name DEVINE
First Name VERNON
Middle Name T
Suffix
Gender M
Credential CP
Medical School Name OTHER
Graduation Year 1971
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 4500 PARK GLEN RD
Line 2 Street Address SUITE 270
Marker Of Address Line 2 Suppression
City SAINT LOUIS PARK
State MN
Zip Code 554165826
Phone Number 9529299478
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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