Individual
LINDA ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
3100 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 55416-4527
(612) 925-6033
(612) 925-8496
Mailing address
3100 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 55416-4527
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4264
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170662C154
UCARE
MN
01
—
2029601
BHP
MN
01
—
50G04G0
BCBS
MN
01
—
6164076
MEDICA CHOICE
MN
05
—
672657700
—
MN
01
—
680015850
RR MEDICARE
MN
01
—
HP34487
HEALTHPARTNERS
MN
Enumeration date
11/15/2006
Last updated
01/12/2017
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