Individual
SHANNA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
295 PHALEN BLVD, SAINT PAUL, MN 55130-2400
(651) 495-6200
Mailing address
7220 YORK AVE S APT 116, EDINA, MN 55435-4459
(763) 516-5222
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6149
MN
Other
Enumeration date
11/16/2018
Last updated
06/13/2024
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