| Stillwater Psychological Associates Pa | |
|
1611 County Road B W Ste 102 Roseville MN 55113-4053 | |
| (651) 356-4436 | |
| (651) 348-8349 |
| Full Name | Stillwater Psychological Associates Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1611 County Road B W Ste 102, Roseville, Minnesota |
| Authorized Official Name and Position | Christopher Mccalla (OWNER) |
| Authorized Official Contact | 6513564436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Psychological Associates Pa 1611 County Road B W Ste 102 Roseville MN 55113-4053 Ph: (651) 356-4436 | Stillwater Psychological Associates Pa 1611 County Road B W Ste 102 Roseville MN 55113-4053 Ph: (651) 356-4436 |
| NPI Number | 1265802532 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265802532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12610 (Minnesota) | Primary |
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