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NPI Code Detail

MEDICARE: DR. BELLE P KHUU PHD, LICSW

MEDICARE: DR. BELLE P KHUU PHD, LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker31137MN

General Provider Information

NPI Number : 1689493249
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BELLE P KHUU PHD, LICSW
Provider Business Mailing Address
First Line : 1900 SILVER LAKE RD NW STE 110
Second Line :
City : NEW BRIGHTON
State : MN
Zip : 55112-1789
Country : US
Telephone Number : 651-628-9566
Fax Number : 651-628-0411
Provider Business Practice Location Address
First Line : 2680 SNELLING AVE N STE 200
Second Line :
City : ROSEVILLE
State : MN
Zip : 55113-1879
Country : US
Telephone Number : 651-364-9381
Fax Number : 651-364-9382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2024
Last Update Date : 05/08/2026

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