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Organization

ST. PAUL NEUROPSYCHOLOGY SERVICES, P.A.

Active
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Organization

ST. PAUL NEUROPSYCHOLOGY SERVICES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA MCDANIELS PSY.D., L.P. (OWNER)
(651) 501-4957
Entity
Organization

Contact information

Practice address
1789 WOODLANE DR, SUITE C, WOODBURY, MN 55125-3910
(651) 501-4957
Mailing address
8260 ENCLAVE RD, WOODBURY, MN 55125-3038

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103221
HEALTHPARTNERS
MN
01
141783
UCARE AND BHP
MN
01
277S5MC
BLUE CROSS
MN
01
61-78127
MEDICA AND UBH
MN
01
P00092642
RAILROAD MEDICARE
MN
Enumeration date
12/27/2005
Last updated
09/11/2025
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