BRUCE LEE BAKKE

BROOKLYN CENTER, MN
NPI1184767675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MN  LP2204)
Additional Taxonomies103TA0700X Psychologist, Adult Development & Aging
(Licence: MN  LP2204)
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: MN  LP2204)
103TM1800X Psychologist, Intellectual & Developmental Disabilities
(Licence: MN  LP2204)
Enumeration Date2007-02-14
Last Update Date2010-06-22
Business Address
Dr. BRUCE LEE BAKKE Ph.D.
3300 COUNTY ROAD 10 SUITE 500
BROOKLYN CENTER, MN 55429-3072
Phone number: 763-560-8331
Mailing Address
Dr. BRUCE LEE BAKKE Ph.D.
2012 IGLEHART AVE
SAINT PAUL, MN 55104-5146
Phone number: 651-645-3949