S Standa

NPI 1407963598 · on the registry since 2006 · sole proprietor

Practice

Address: 287 Marschall Rd
Ste 106
Shakopee, MN 55379
Phone: (952) 445-5390
Fax: (952) 445-5394
Organisation at this address: Neve Inc
Mckziel Clinic Inc
Dr Carol Leinonen Psyd Lp Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-02-26

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