Provider Demographics
NPI:1558383463
Name:OXMAN, PHILIP E (MS, PSYCHOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:E
Last Name:OXMAN
Suffix:
Gender:M
Credentials:MS, PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S 4TH ST
Mailing Address - Street 2:SUITE 854
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1411
Mailing Address - Country:US
Mailing Address - Phone:612-288-5000
Mailing Address - Fax:612-288-5002
Practice Address - Street 1:400 S 4TH ST
Practice Address - Street 2:SUITE 854
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1411
Practice Address - Country:US
Practice Address - Phone:612-288-5000
Practice Address - Fax:612-288-5002
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP 2542103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist