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NPI Code Detail

MEDICARE: DR. SHARON ANNE STEIN MCNAMARA ED.D.

MEDICARE:  DR. SHARON ANNE STEIN MCNAMARA  ED.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TF0200XForensic PsychologistLP2991MN
2103T00000XPsychologistLP2991MN
3103TA0400XAddiction (Substance Use Disorder) PsychologistLP2991MN
4103TC2200XClinical Child & Adolescent PsychologistLP2991MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
161-54388OTHERMNMEDICA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3105050OTHERMNUCARE
44H678STOTHERMNBLUE CROSS

General Provider Information

NPI Number : 1194849414
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARON ANNE STEIN MCNAMARA ED.D.
Provider Business Mailing Address
First Line : 5563 PARK PLACE DR
Second Line :
City : SHOREVIEW
State : MN
Zip : 55126-9126
Country : US
Telephone Number : 651-698-1799
Fax Number : 651-481-3209
Provider Business Practice Location Address
First Line : 4700 LEXINGTON AVE N STE B1A
Second Line :
City : SAINT PAUL
State : MN
Zip : 55126-5867
Country : US
Telephone Number : 651-698-1799
Fax Number : 651-481-3209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 06/24/2020

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