Junghans, Stacey

Junghans, Stacey is an individual health care provider with primary practice located at 5625 Cenex Dr , Inver Grove Heights MN 55077-1724. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Junghans, Stacey can be contacted via phone (651) 552-2600.

Contact Information

Primary practice address
5625 Cenex Dr Inver Grove Heights MN 55077-1724
Phone: (651) 552-2600
Fax: (651) 552-2614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4106 Minnesota

Profile Details

NPI number 1396759585
LBN Legal business name Junghans, Stacey
Credentials M.A., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 2nd, 2016 - about 10 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 1396759585 NPPES
Minnesota MEDICAID 285418000
Minnesota Other 1022878
Minnesota Other 62-62375
Minnesota Other 124596
Minnesota Other 20D41JU
Minnesota Other 30594

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