Organization
SHARON STEIN MCNAMARA ED D PSYCHOLOGY INC
Active
Other names
Sharon Stein McNamara, Ed.D.,Licensed Psychologist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON STEIN MCNAMARA L.P. (LICENSED PSYCHOLOGIST)
(651) 698-0038
Entity
Organization
Contact information
Practice address
4700 LEXINGTON AVE N STE B1A, SHOREVIEW, MN 55126-5867
(651) 698-1799
(651) 481-3209
Mailing address
5563 PARK PLACE DR, SHOREVIEW, MN 55126-9126
(651) 698-0038
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2991
MN
103TA0400X
Addiction (Substance Use Disorder) Psychologist
MN LP2991
MN
103TC2200X
Clinical Child & Adolescent Psychologist
MN LP2991
MN
103TF0200X
Forensic Psychologist
MN LP2991
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105050
UCARE ID NUMBER
MN
01
—
4H679ST
BLUE CROSS OF MINNESOTA
MN
01
—
61-54388
MEDICA, UBH
MN
05
—
789815100
—
MN
Enumeration date
09/16/2006
Last updated
06/24/2020
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