Individual
SANDRA CROSSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LP
Contact information
Practice address
7362 UNIVERSITY AVE NE STE 302, FRIDLEY, MN 55432-3150
(763) 572-8187
Mailing address
7362 UNIVERSITY AVE NE STE 302, FRIDLEY, MN 55432-3150
(763) 572-8187
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049L5CR
BCBS
MN
01
—
102510
HEALTH PARTNERS
MN
01
—
141769
UCARE
MN
01
—
6263843
MEDICA
MN
Enumeration date
07/17/2006
Last updated
07/09/2007
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