Lana Boutacoff, PHD, LP

NPI 1437213469 · on the registry since 2006 · sole proprietor

Practice

Address: 570 Asbury St
Suite 104
Saint Paul, MN 55104
Phone: (651) 645-7318
Fax: (651) 645-0974
Organisation at this address: Access Surgical
Marna Reed, Ma, Lp
Practical Therapy Llc
Mn Care Transports Llc
Project Pathfinder Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: Psychologist
103T00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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