Organization
JANET STAM PSY,D, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET CAROL STAM (SOLE PROPRIETOR)
(763) 754-2917
Entity
Organization
Contact information
Practice address
950 COUNTY ROAD 10, SUITE 109, SPRING LAKE PARK, MN 55432-1253
(763) 754-2917
(763) 717-3088
Mailing address
950 COUNTY ROAD 10, SUITE 109, SPRING LAKE PARK, MN 55432-1253
(763) 754-2917
(763) 717-3088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4793
MN
Other
Enumeration date
11/13/2010
Last updated
11/13/2010
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