Individual
REBECCA QUINTELA-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
155 WABASHA ST S, SUITE 120, SAINT PAUL, MN 55107-1801
(651) 221-0914
(651) 221-0785
Mailing address
13105 177TH ST N, MARINE ON SAINT CROIX, MN 55047-8615
(612) 240-4203
(651) 433-3162
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 3746
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120798
UCARE
MN
01
—
331ROOW
BLUE CROSS BLUE SHIELD MN
MN
01
—
62-64313
UBH
MN
Enumeration date
05/04/2007
Last updated
07/08/2007
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