Dr. Rochelle Elizabeth Mccourtney Gredvig
Counseling Psychologist
13603 80th Cir N
Maple Grove
, Minnesota 55369-8961
Dr. Rochelle Elizabeth Mccourtney Gredvig
Counseling Psychologist
13603 80th Cir N
Maple Grove
, Minnesota 55369-8961
(763) 464-3064
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. Rochelle Elizabeth Mccourtney Gredvig
- 4913 Kalenda Ave Ne
- Albertville, MN
- Zip : 55301-4613
- Phone : (763) 464-3064
Second Address
- Dr. Rochelle Elizabeth Mccourtney Gredvig
- 13603 80th Cir N
- Maple Grove, MN
- Zip : 55369-8961
- Phone : (763) 274-3120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist |
National Provider Identifier
| NPI | 1114470663 |
|---|---|
| Provider Name | Dr. Rochelle Elizabeth Mccourtney Gredvig |
| First Address | Albertville, MN 55301-4613 |
| Second Address | Maple Grove, MN 55369-8961 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2016 |
| Last Update Date | 02/08/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.