Basic Information
Provider Information
NPI: 1952442766
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURMAN
FirstName: DANA
MiddleName: W
NamePrefix:  
NameSuffix:  
Credential: LMFT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3333 UNIVERSITY AVE SE
Address2:  
City: MINNEAPOLIS
State: MN
PostalCode: 554143325
CountryCode: US
TelephoneNumber: 6123319413
FaxNumber: 6127285301
Practice Location
Address1: 3333 UNIVERSITY AVE SE
Address2:  
City: MINNEAPOLIS
State: MN
PostalCode: 554143325
CountryCode: US
TelephoneNumber: 6123319413
FaxNumber: 6127285301
Other Information
ProviderEnumerationDate: 02/12/2007
LastUpdateDate: 07/29/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000X1048MNY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

ID Information
IDTypeStateIssuerDescription
62-9192101MNUBHOTHER
92310130005MN MEDICAID
614A1TU01MNBCBSOTHER
13809601MNUCOTHER
3907601MNHPOTHER
104004601MNP1OTHER


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