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CYNTHIA RICHARDSON SPICUZZA PHD, LP

Clinical Neuropsychologist

St Paul, Minnesota

Provider NPI: 1427035021

Provider Information:
 CYNTHIA RICHARDSON SPICUZZA PHD, LP
Gender: F


Practice Location:
2550 UNIVERSITY AVE WEST STE 229N ST PAUL, MN 55114 US
Tel: 651-645-3115  Fax: 651-645-2752

Business Mailing Address:
2550 UNIVERSITY AVE WEST STE 229N ST PAUL, MN 55114 US
Tel: 651-645-3115  Fax: 651-645-2752

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MNLP3814

Other Provider Identifiers:

IssuerNumberStateType
BCBS OF MN141T1SPMN01
MEDICA6173368MN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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