Healthcare Provider Details

I. General information

NPI: 1679364418
Provider Name (Legal Business Name): JOANNA WOO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 4TH ST E STE 300
NORTHFIELD MN
55057-2047
US

IV. Provider business mailing address

1303 S FRONTAGE RD STE 150
HASTINGS MN
55033-2690
US

V. Phone/Fax

Practice location:
  • Phone: 651-505-3273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP7417
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: