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ST. PAUL NEUROPSYCHOLOGY SERVICES, P.A.

Clinical Neuropsychologist

Woodbury, Minnesota

Provider NPI: 1467439067

Organization Information:
Organization Name:  ST. PAUL NEUROPSYCHOLOGY SERVICES, P.A.
Authorized Official:  LAURA  MCDANIELS  OWNER  651-5014957

Practice Location:
1789 WOODLANE DR SUITE C WOODBURY, MN 55125 US
Tel: 651-501-4957  Fax: --

Business Mailing Address:
8260 ENCLAVE RD  WOODBURY, MN 55125 US
Tel: --  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
X103T00000XBehavioral Health & Social Service Providers
Psychologist

Other Provider Identifiers:

IssuerNumberStateType
MEDICA AND UBH61-78127MN01
BLUE CROSS277S5MCMN01
RAILROAD MEDICAREP00092642MN01
HEALTHPARTNERS103221MN01
C04138MN04
UCARE AND BHP141783MN01
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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