Janet Stam Psy,d, Pa | |
950 County Road 10 Suite 109 Spring Lake Park MN 55432-1253 | |
(763) 754-2917 | |
(763) 717-3088 |
Full Name | Janet Stam Psy,d, Pa |
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Speciality | Psychologist - Clinical |
Location | 950 County Road 10, Spring Lake Park, Minnesota |
Authorized Official Name and Position | Janet Carol Stam (SOLE PROPRIETOR) |
Authorized Official Contact | 7637542917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Janet Stam Psy,d, Pa 950 County Road 10 Suite 109 Spring Lake Park MN 55432-1253 Ph: (763) 754-2917 | Janet Stam Psy,d, Pa 950 County Road 10 Suite 109 Spring Lake Park MN 55432-1253 Ph: (763) 754-2917 |
NPI Number | 1992006548 |
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Provider Enumeration Date | 11/13/2010 |
Last Update Date | 11/13/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992006548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP4793 (Minnesota) | Primary |
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