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DR. BRAD RYAN NEDEROSTEK PSY.D.

Behavioral Health & Social Service Providers Psychologist Health

Provider NPI: 1407129786

Provider Information:
DR. BRAD RYAN NEDEROSTEK PSY.D.
Gender: M
Sole Proprietor

Practice Location:
1300 S 2ND ST SUITE 180 MINNEAPOLIS, MN 55454-1075 US
Tel: 612-625-1500  Fax: --

Business Mailing Address:
4301 PARK GLEN RD APARTMENT 132 SAINT LOUIS PARK, MN 55416-4783 US
Tel: 610-533-1911  Fax: --

NPI Information:
NPI: 1407129786
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TH0004XBehavioral Health & Social Service Providers
Psychologist
Health

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103TH0004X

Type:

Classification:



Definition:



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