| St. Paul Neuropsychology Services, P.a. | |
|
1789 Woodlane Dr Suite C Woodbury MN 55125-3910 | |
| (651) 501-4957 | |
| Not Available |
| Full Name | St. Paul Neuropsychology Services, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 1789 Woodlane Dr, Woodbury, Minnesota |
| Authorized Official Name and Position | Laura Mcdaniels (OWNER) |
| Authorized Official Contact | 6515014957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Paul Neuropsychology Services, P.a. 8260 Enclave Rd Woodbury MN 55125-3038 Ph: () - | St. Paul Neuropsychology Services, P.a. 1789 Woodlane Dr Suite C Woodbury MN 55125-3910 Ph: (651) 501-4957 |
| NPI Number | 1467439067 |
|---|---|
| Provider Enumeration Date | 12/27/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7214958446 |
|---|---|
| Medicare Enrollment ID | O20051215000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467439067 | NPI | - | NPPES |
| 61-78127 | Other | MN | MEDICA AND UBH |
| 103221 | Other | MN | HEALTHPARTNERS |
| P00092642 | Other | MN | RAILROAD MEDICARE |
| 141783 | Other | MN | UCARE AND BHP |
| 277S5MC | Other | MN | BLUE CROSS |
| Provider Name | Laura A Mcdaniels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578540175 PECOS PAC ID: 5193763472 Enrollment ID: I20050418001069 |
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