NPI 1639588643

Brad W Houghton PSYD LP LLC

Organisation Point of Service Saint Paul, MN

Practice location

Address: 821 Raymond Ave, Saint Paul, MN 55114-1532
Phone: (651) 645-8300
Fax: (651) 645-4603

Authorised official

Name: Brad William Houghton
Title: Owner
Phone: (612) 308-7038

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence LP4812 (MN)

Other Point of Service providers in Minnesota →

Registry record

NPI: 1639588643
Entity type: Organization
NPI issued: 5 Aug 2014
Record last updated: 5 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.