Search › Minnesota › 207Q00000X
Stacey Mackay
NPI 1760469175 · on the registry since 2005
Practice
- Address
- 3850 Park Nicollet Blvd
Park Nicollet Clinic - Slp
St Louis Park, MN 55416 - Phone
- (952) 993-3025
- Fax
- (952) 993-1937
- Organisation at this address
- Park Nicollet Clinic
Park Nicollet Health Care ProductsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 205
Additional practice sites
- 2220 Riverside Ave, Minneapolis, MN
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-14
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