BRAD W HOUGHTON PSYD LP LLC NPI 1639588643

NPI Information

BRAD W HOUGHTON PSYD LP LLC is a point of service in Saint Paul, MN. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. BRAD W HOUGHTON PSYD LP LLC NPI is 1639588643. The provider is registered as an organization entity type.

The provider's business location address is:

821 RAYMOND AVE
SAINT PAUL, MN
ZIP 55114-532
Phone: (651) 645-8300
Fax: (651) 645-4603

The provider's authorized official is Brad William Houghton .
The authorized official title is Owner and has the following contact phone number (612) 308-7038.

The enumeration date for this NPI number is 8/5/2014 and was last updated on 8/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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