| St. Paul Psychology | |
|
570 Asbury St Suite 208 Saint Paul MN 55104-1849 | |
| (651) 776-2648 | |
| (651) 778-1458 |
| Full Name | St. Paul Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 570 Asbury St, Saint Paul, Minnesota |
| Authorized Official Name and Position | Stephen Mark Hjemboe (PROPRIETOR) |
| Authorized Official Contact | 6517762648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Paul Psychology 54 Bates Ave Saint Paul MN 55106-6339 Ph: (651) 776-2648 | St. Paul Psychology 570 Asbury St Suite 208 Saint Paul MN 55104-1849 Ph: (651) 776-2648 |
| NPI Number | 1013215136 |
|---|---|
| Provider Enumeration Date | 03/14/2011 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013215136 | NPI | - | NPPES |
| 705714800 | Medicaid | MN | |
| HP22394 | Other | MN | HEAL THPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP3086 (Minnesota) | Primary |
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