Individual
MRS. DEBORAH C HADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP, LPC
Contact information
Practice address
4005 W 65TH ST, SUITE 214, EDINA, MN 55435-1720
(612) 940-0653
Mailing address
4005 W 65TH ST, SUITE 214, EDINA, MN 55435-1720
(612) 940-0653
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC00151
MN
103TC1900X
Counseling Psychologist
LP3466
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01H70HA
BCBS ID
MN
01
—
62-90979
MEDICA ID
MN
01
—
84905701132
PREFERRED ONE ID
MN
Enumeration date
11/06/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us