Most Relevant Information
Provider Data
| NPI Number: | 1003277732 |
| Provider Name: | IA XIONG X TOYED PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC1900X |
| Specialty: | Psychologist |
| License Number: | LP6187 |
Most Important Dates
| Enumeration Date: | 03/08/2016 |
| Last Updated: | 01/17/2018 |
Provider Practice Location
16180 HASTINGS AVE SE STE 205
PRIOR LAKE
MN
553729228
Practice Location Phone/Fax
| Phone: | 9524434600 |
| Fax: |
Provider Mailing Location
16180 HASTINGS AVE SE STE 205
PRIOR LAKE
MN
553729228
Provider Mailing Phone/Fax
| Phone: | 9524434600 |
| Fax: |