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NPI Code Detail

MEDICARE: DR. PAUL STEVEN SPRINGSTEAD PSY.D.

MEDICARE: DR. PAUL STEVEN SPRINGSTEAD PSY.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
1103T00000XPsychologistLP1296MN
2103TC0700XClinical PsychologistLP1296MN

General Provider Information

NPI Number : 1285793067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL STEVEN SPRINGSTEAD PSY.D.
Provider Business Mailing Address
First Line : 14635 SPRINGWOOD DR
Second Line :
City : BAXTER
State : MN
Zip : 56425-6010
Country : US
Telephone Number : 218-855-1855
Fax Number :
Provider Business Practice Location Address
First Line : 1906 5TH AVE SE
Second Line :
City : LITTLE FALLS
State : MN
Zip : 56345-3317
Country : US
Telephone Number : 320-632-6647
Fax Number : 320-632-9525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2006
Last Update Date : 09/11/2025

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