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ST. PAUL NEUROPSYCHOLOGY SERVICES P.A. NPI 1467439067

NPI Profile

NPI: 1467439067

Provider Name: ST. PAUL NEUROPSYCHOLOGY SERVICES, P.A.

Classification: Psychologist - 103TC0700X

Entity Type: Organization

Specialization: Clinical

Address:
1789 WOODLANE DR
SUITE C
WOODBURY, MN
ZIP 55125

Phone: (651) 501-4957

ST. PAUL NEUROPSYCHOLOGY SERVICES, P.A. is a clinical psychologist in Woodbury, MN. ST. PAUL NEUROPSYCHOLOGY SERVICES, P.A. NPI is 1467439067. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1789 WOODLANE DR
SUITE C
WOODBURY, MN
ZIP 55125-910
Phone: (651) 501-4957

The provider's authorized official is Laura Mcdaniels .
The authorized official title is Owner and has the following contact phone number (651) 501-4957.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 7/8/2007.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103TC0700X Psychologist Clinical X
2 103G00000X Clinical Neuropsychologist X
3 103T00000X Psychologist X

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015