| Doctor Name: | JOHN HENRY PRIBYL |
| NPI Number: | 1275505760 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD LP LMFT |
| License Number: | 0374 |
| Business Practice Address: | 5625 Cenex Dr Mail Stop 33100a Inver Grove Heights, MN - 550771735 |
| Business Phone Number: | 6515522600 |
| Business Fax Number: | 6515522674 |
| Mailing Address: | 8100 34th Ave S, Mail Stop 33100a BLOOMINGTON |
| State: | MN |
| Postal Code: | 554251672 |
| Phone Number: | 9528835463 |
| Fax Number: | 9528835395 |
| NPI Enumeration Date: | 02/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0374 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |