| Counseling Psychologists Of St. Paul | |
|
7582 Currell Blvd Suite 208 Woodbury MN 55125-2262 | |
| (651) 739-7539 | |
| (651) 730-9200 |
| Full Name | Counseling Psychologists Of St. Paul |
|---|---|
| Speciality | Psychologist |
| Location | 7582 Currell Blvd, Woodbury, Minnesota |
| Authorized Official Name and Position | Robin Mcleod (PRESIDENT) |
| Authorized Official Contact | 6517397539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Psychologists Of St. Paul 7582 Currell Blvd Suite 208 Woodbury MN 55125-2262 Ph: (651) 739-7539 | Counseling Psychologists Of St. Paul 7582 Currell Blvd Suite 208 Woodbury MN 55125-2262 Ph: (651) 739-7539 |
| NPI Number | 1659301398 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1052314887 |
|---|---|
| Medicare Enrollment ID | O20060817000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659301398 | NPI | - | NPPES |
| 214351800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | LP3073 (Minnesota) | Secondary |
| Provider Name | Robin G Mcleod |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851324701 PECOS PAC ID: 6406859230 Enrollment ID: I20060817000381 |
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