Female

Colleen M. Daniewicz PSYD

Psychologist in Woodbury, MN(View on Map)

Full Name

Colleen M Daniewicz PSYD

NPI Number

1033171145

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/04/2006

Specialties

(Taxonomies)

Code

103T00000X
103TC0700X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota
Minnesota

License Number

LP3532
102235

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 43
8675 VALLEY CREEK RD

City

Minneapolis
Woodbury

State

MN
MN

Postal Code

55440-0043
55125-2337

Country

US
US

Telephone Number

(612) 262-4813
(651) 501-3000

Identifiers

Identifier

486518900

Identifier State

MN

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

cdaniewicz85463@excellian.direct.allina.com

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
CDA/PDF/TXT

Affiliation

N

Endpoint Location

8675 Valley Creek RdWoodbury, MN551252337US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/22/2023

Provider Address

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