Provider Demographics
NPI:1861720518
Name:GERMAN, GALINA (PSYD, LPC)
Entity type:Individual
Prefix:DR
First Name:GALINA
Middle Name:
Last Name:GERMAN
Suffix:
Gender:F
Credentials:PSYD, LPC
Other - Prefix:DR
Other - First Name:GALINA
Other - Middle Name:
Other - Last Name:STORCHAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:2336 LEXINGTON AVE N
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-4343
Mailing Address - Country:US
Mailing Address - Phone:651-765-4311
Mailing Address - Fax:651-765-4307
Practice Address - Street 1:2336 LEXINGTON AVE N
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-4343
Practice Address - Country:US
Practice Address - Phone:651-765-4311
Practice Address - Fax:651-765-4307
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4307-125101YP2500X
MN00888101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional