Organization · Type 2 NPI

Brad W Houghton Psyd LP LLC

Point of Service · St. Paul, MN

NPI number 1639588643 Active

Practice location

821 Raymond Ave
St. Paul, MN 55114-1532

Call (651) 645-8300 Map

Fax (651) 645-4603

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XLP4812 (MN)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1639588643

Brad W Houghton Psyd LP LLC's National Provider Identifier is 1639588643, issued on Aug 5, 2014. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in St. Paul, MN. The record was last updated on Aug 5, 2014.