Individual
DR. ELLEN B SNOXELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 229-3855
(651) 602-6891
Mailing address
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE, 200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 229-3855
(651) 602-6891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2755
MN
103TR0400X
Rehabilitation Psychologist
LP2755
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680003285
MEDICARE PART B
MN
Enumeration date
04/16/2007
Last updated
09/27/2018
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