Individual
TIMOTHY C MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LP
Contact information
Practice address
4027 COUNTY ROAD 25, MINNEAPOLIS, MN 55416-2629
(612) 925-6033
(612) 925-8496
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1540
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101898C154
UCARE
MN
05
—
193552600
—
MN
01
—
302928
USA NETWORK
MN
01
—
411425197
CIGNA BEHAVIORAL HEALTH
MN
01
—
6220003
MEDICA CHOICE
MN
01
—
7H905MC
BCBS
MN
01
—
HP19964
HEALTHPARTNERS
MN
Enumeration date
11/29/2006
Last updated
10/23/2023
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