Individual
LAURA MCDANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
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
LP3491
MN
103T00000X
Psychologist
LP3491
MN
103TC0700X
Clinical Psychologist
Primary
LP3491
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103221
HEALTHPARTNERS
MN
01
—
141783
UCARE AND BHP
MN
01
—
277S6MD
BLUE CROSS BLUE SHIELD
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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