St. Paul Neuropsychology Services, P.A.
Legal Business Name
St. Paul Neuropsychology Services, P.A.
NPI Number
1467439067
NPI Type
Organization
Enumeration Date
12/27/2005
Specialties
(Taxonomies)Code
103G00000X
103TC0700X
103T00000X
Primary Taxonomy
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
8260 ENCLAVE RD
1789 WOODLANE DR
City
Woodbury
Woodbury
State
MN
MN
Postal Code
55125-3038
55125-3910
Country
US
US
Telephone Number
N/A
(651) 501-4957
Authorized Official
Name
Laura Mcdaniels
Title or Position
OWNER
Telephone Number
(651) 501-4957
Identifiers
Identifier
61-78127
103221
P00092642
141783
277S5MC
Identifier State
MN
MN
MN
MN
MN
Identifier Issuer
MEDICA AND UBH
HEALTHPARTNERS
RAILROAD MEDICARE
UCARE AND BHP
BLUE CROSS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020