Individual
CAROL MARGARET STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
7500 FRANCE AVE S, EDINA, MN 55435-3400
(952) 835-1311
Mailing address
7500 FRANCE AVE S, EDINA, MN 55435-3400
(952) 835-1311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3384
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108932C154
UCARE
MN
01
—
411425197
CIGNA BEHAVIORAL HEALTH
MN
01
—
6100406
MEDICA CHOICE
MN
05
—
638257600
—
MN
01
—
6H116ST
BCBS
MN
01
—
800002580
RR MEDICARE
MN
01
—
HP19366
HEALTHPARTNERS
MN
Enumeration date
11/30/2006
Last updated
07/21/2022
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