THYRA ANNE FOSSUM

SAINT PAUL, MN
NPI1902133440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  LP4703)
Enumeration Date2009-11-04
Last Update Date2015-06-30
Business Address
Dr. THYRA ANNE FOSSUM Ph.D.
1595 SELBY AVE SUITE 109
SAINT PAUL, MN 55104-6221
Phone number: 612-229-8198
Mailing Address
Dr. THYRA ANNE FOSSUM Ph.D.
1595 SNELLING AVENUE SUITE 109
SAINT PAUL, MN 55104
Phone number: 612-229-8198