Individual
LAURA STEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
475 CLEVELAND AVE N STE 311, SAINT PAUL, MN 55104-5053
(651) 728-4500
Mailing address
475 CLEVELAND AVE N STE 311, SAINT PAUL, MN 55104-5053
(651) 728-4500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
06/09/2023
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