Organization

Bette Magyar Johnson Consulting, Inc.

Clinical Psychologist in Minneapolis, MN(View on Map)

Legal Business Name

Bette Magyar Johnson Consulting, Inc.

NPI Number

1417188376

NPI Type

Organization

Enumeration Date

07/27/2009

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

LP2862

Contact
Information

Purpose

Mailing
Location

Address

205 BARRY AVE S
430 OAK STREET

City

Wayzata
Minneapolis

State

MN
MN

Postal Code

55391-1655
55403

Country

US
US

Telephone Number

(952) 404-2610
(612) 871-8684

Authorized Official

Name

Dr. Bette Johnson

Title or Position

PRESIDENT

Telephone Number

(952) 404-2610

Identifiers

Identifier

525850200
62093JO
113885
6145828

Identifier State

MN
MN
MN
MN

Identifier Issuer

MEDICAL ASSISTANCE
BCBS
UCARE
MEDICA-UBH

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/27/2009

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