Daniewicz, Colleen M

Daniewicz, Colleen M is an individual health care provider with primary practice located at 8675 Valley Creek Rd , Woodbury MN 55125-2337. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Daniewicz, Colleen M can be contacted via phone (651) 501-3000.

Contact Information

Primary practice address
8675 Valley Creek Rd Woodbury MN 55125-2337
Phone: (651) 501-3000
Fax: (651) 501-3500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 102235 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3532 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3532 Minnesota

Profile Details

NPI number 1033171145
LBN Legal business name Daniewicz, Colleen M
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated May 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033171145 NPPES
Minnesota MEDICAID 486518900

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