| Cara Lundeen Psyd Lp Llc | |
|
821 Raymond Ave Ste 140 Saint Paul MN 55114-1509 | |
| (651) 645-5885 | |
| (651) 645-1403 |
| Full Name | Cara Lundeen Psyd Lp Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 821 Raymond Ave Ste 140, Saint Paul, Minnesota |
| Authorized Official Name and Position | Cara Lundeen (OWNER) |
| Authorized Official Contact | 6516455885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cara Lundeen Psyd Lp Llc 821 Raymond Ave Ste 140 Saint Paul MN 55114-1509 Ph: (651) 645-5885 | Cara Lundeen Psyd Lp Llc 821 Raymond Ave Ste 140 Saint Paul MN 55114-1509 Ph: (651) 645-5885 |
| NPI Number | 1700972650 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700972650 | NPI | - | NPPES |
| 89G22LU | Other | MN | BLUE CROSS BLUE SHEILD OF MN |
| 522410100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP4511 (Minnesota) | Primary |
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