Mcdaniels, Laura

Mcdaniels, Laura is an individual health care provider with primary practice located at 1789 Woodlane Dr Suite C, Woodbury MN 55125-3910. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Mcdaniels, Laura can be contacted via phone (651) 501-4957.

Contact Information

Primary practice address
1789 Woodlane Dr Suite C Woodbury MN 55125-3910
Phone: (651) 501-4957
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP3491 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3491 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3491 Minnesota

Profile Details

NPI number 1578540175
LBN Legal business name Mcdaniels, Laura
Credentials PSY.D., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

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 1578540175 NPPES
Minnesota Other 277S6MD BLUE CROSS BLUE SHIELD
Minnesota Other 61-78127 BLUE CROSS BLUE SHIELD
Minnesota Other 103221 BLUE CROSS BLUE SHIELD
Minnesota Other P00092642 BLUE CROSS BLUE SHIELD
Minnesota Other 141783 BLUE CROSS BLUE SHIELD

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