Individual
DANIELLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1315 E 24TH ST, MINNEAPOLIS, MN 55404
(612) 721-9800
Mailing address
1315 E 24TH ST, MINNEAPOLIS, MN 55404-3975
(612) 721-9800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5736
MN
103TC0700X
Clinical Psychologist
LP 5736
MN
Other
Enumeration date
10/06/2015
Last updated
12/13/2018
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