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Contact Information

REGINA M DRISCOLL, PHD LP
2332 LEXINGTON AVE N
ROSEVILLE, MN55113-4336
 Phone: 651-247-3004
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for REGINA M DRISCOLL · (Female)

NPI # 1891808424
Status Active
Credentials PHD LP
Entity Individual
Enumeration date 08/17/2006
Last updated 12/11/2008 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LP1485
  • MN Medicaid 910048200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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