Fabio Andre Azeredo
Fabio Andre Azeredo is a Psychoanalysis Psychologist in Minnetonka, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
250 Carlson Pkwy Apt 202Minnetonka, MN 55305-5320
Phone: (612) 704-3339
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Specialties & licences
| Psychoanalysis Psychologist (primary) | Taxonomy 103TP0814X |
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Record details
| NPI number | 1972258630 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 21, 2022 |
| Last updated in NPPES | February 21, 2022 |
| Certification date | February 21, 2022 |
| Mailing address | 250 Carlson Pkwy Apt 202, Minnetonka, MN 55305-5320 |