Janet Stam Psy,d, PA

NPI #1992006548 in Spring Lake Park, Minnesota

Provider Information

NPI Number: 1992006548
Entity Type: Organization
Organization Name: Janet Stam Psy,d, PA
Primary Specialty: Psychologist - Clinical
Enumeration Date: Nov 13, 2010
Last Updated: Nov 13, 2010

Practice Location

Address: 950 COUNTY ROAD 10
Address 2: SUITE 109
City: Spring Lake Park
State: Minnesota
ZIP Code: 55432-1253
Phone: (763) 754-2917

Authorized Official

Name: DR. JANET CAROL STAM
Title: SOLE PROPRIETOR
Phone: (763) 754-2917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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