Individual
STEPHEN COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
1611 COUNTY ROAD B W STE 202, ROSEVILLE, MN 55113-4053
(651) 300-1112
Mailing address
689 WOODDUCK DR UNIT I, WOODBURY, MN 55125-1824
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP7300
MN
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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