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Individual

DR. SHARON ANNE STEIN MCNAMARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.D.

Contact information

Practice address
4700 LEXINGTON AVE N STE B1A, SAINT PAUL, MN 55126-5867
(651) 698-1799
(651) 481-3209
Mailing address
5563 PARK PLACE DR, SHOREVIEW, MN 55126-9126
(651) 698-1799
(651) 481-3209

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2991
MN
103TA0400X
Addiction (Substance Use Disorder) Psychologist
LP2991
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP2991
MN
103TF0200X
Forensic Psychologist
LP2991
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105050
UCARE
MN
01
4H678ST
BLUE CROSS
MN
01
61-54388
MEDICA
MN
05
789815100
MN
Enumeration date
03/19/2007
Last updated
06/24/2020
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