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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL CHARLES LUXEM, PHD

Active

MICHAEL CHARLES LUXEM, PHD is a Child, Clinical Psychologist healthcare provider located in HASTINGS, Minnesota. NPI 1790929198 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · HASTINGS, MN

Registration Details

NPI Number
1790929198
Provider Type
Individual
Gender
Male
NPI Issued
Apr 29, 2009 (17.334206430856 yrs)
Last Updated
Apr 29, 2009
Licenses
LP 4843 (MN)
2707-057 (WI)

Practice Information

Address
1210 1ST ST W
HASTINGS, MN, 550331147
Browse MN providers · Browse ZIP 55033
Phone
6514381800
Primary Specialty
Child, Clinical Psychologist
103TC2200X
Additional Specialty
Child, Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.