Provider Demographics
NPI:1780933960
Name:MURRAY, AIMEE KAYE (PSYD)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:KAYE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:KAYE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2450 RIVERSIDE AVE S
Mailing Address - Street 2:F282/2A WEST
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454-1450
Mailing Address - Country:US
Mailing Address - Phone:612-273-8727
Mailing Address - Fax:612-273-9779
Practice Address - Street 1:2450 RIVERSIDE AVE S
Practice Address - Street 2:F282/2A WEST
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1450
Practice Address - Country:US
Practice Address - Phone:612-273-8727
Practice Address - Fax:612-273-9779
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical