Provider Demographics
NPI:1306099379
Name:DRUHN, NICHOLAS (PSYD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:DRUHN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S 6TH ST
Mailing Address - Street 2:SUITE C-509
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55487-0351
Mailing Address - Country:US
Mailing Address - Phone:612-348-3723
Mailing Address - Fax:612-348-3452
Practice Address - Street 1:300 S 6TH ST
Practice Address - Street 2:SUITE C-509
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55487-0351
Practice Address - Country:US
Practice Address - Phone:612-348-3723
Practice Address - Fax:612-348-3452
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5398103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic