NPI 1366977753 · live from the CMS NPI Registry
Aex Barr, MA
Psychologist in St Louis Park, MN. National Provider Identifier 1366977753, active.
NPI record
| NPI | 1366977753 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 3800 Park Nicollet Blvd, St Louis Park, MN 55416 |
| Practice phone | 952-993-3123 |
| Mailing address | 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425 |
| Enumerated | April 24, 2017 |
| Last updated | November 3, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist primary | 103T00000X | LP6867 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.