Individual
CYNTHIA RICHARDSON SPICUZZA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
2550 UNIVERSITY AVE WEST, STE 229N, ST PAUL, MN 55114
(651) 645-3115
(651) 645-2752
Mailing address
2550 UNIVERSITY AVE WEST, STE 229N, ST PAUL, MN 55114
(651) 645-3115
(651) 645-2752
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP3814
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141T1SP
BCBS OF MN
MN
01
—
6173368
MEDICA
MN
Enumeration date
12/27/2005
Last updated
07/08/2007
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