Search › Minnesota › 103T00000X
Stephen Costello, PSYD, LP
NPI 1194683599 · on the registry since 2026
Practice
- Address
- 1611 County Road B W Ste 202
Roseville, MN 55113 - Phone
- (651) 300-1112
- Organisation at this address
- Ana Lab Llc
Jlc Homecare Llc
A A Eneanya Pllc
A A Eneanya Pllc
Luminous Mind IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota