Search › Minnesota › 101YM0800X
Douglas Petrie, M.A. L.P.C.C
NPI 1780087098 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2400 W 64th St
Richfield, MN 55423 - Phone
- (612) 875-5996
- Organisation at this address
- Fraser
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota