THERESA MARIE MCCABE LAU


Address: 1900 Centra Care Cir, Ste 1325, St Cloud, MN 56303
Phone: 3202555796

THERESA MARIE MCCABE LAU (NPI# 1023067873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023067873
Entity Type Individual
Full Name THERESA MARIE MCCABE LAU
Credential MD
Practice Address 1900 Centra Care Cir
Ste 1325
St Cloud
MN 56303
Mailing Address 1406 6th Ave N
St Cloud
MN 56303
Practice Telephone 3202555796
Practice Fax Number 3202295179
Mailing Telephone 3202512700
Mailing Fax Number 3206567026
Enumeration Date 2006-05-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
45771 MN Allopathic & Osteopathic Physicians

Other Providers THERESA LAU

NPI Name Taxonomy Address Enumeration
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Office Location

Street Address 1900 CENTRA CARE CIR
STE 1325
City ST CLOUD
State MN
Zip Code 56303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316997125 Dani U Jakubowski Psychologist 1900 Centra Care Cir, St Cloud, MN 56303 2006-05-11

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NPI Name Taxonomy Address Enumeration
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1609420942 Stephanie Lynne Metzger Nurse Practitioner Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 2019-07-25
1306406947 Willow Tree Acupuncture LLC Acupuncturist 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 2019-06-17
1821553520 Alan Melvin Hoeper Nurse Anesthetist, Certified Registered Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 2019-02-06
1437644465 Brianna Larissa Justin Speech-Language Pathologist St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 2018-06-22
1780186486 Simplicity Health Pa Family Medicine 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 2018-03-08
1639682925 Dereje Beyene Respiratory Therapist, Certified 1406 15th Street North, Saint Cloud, MN 56303 2017-11-09
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

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1952945180 Pathways Autism Center LLC Psychiatry & Neurology 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 2019-10-31
1841514734 Sara Jean Polley Psychiatry & Neurology 5500 94th Ave N, Brooklyn Park, MN 55443-1992 2010-03-21
1356597041 Wei Guan Psychiatry & Neurology 3800 Park Nicollet Blvd Ste 650, St Louis Park, MN 55416-2527 2008-08-13
1831357219 Lawrence John Young Jr. Psychiatry & Neurology 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 2008-06-02
1396885646 Muhammad Waqar Azeem Psychiatry & Neurology 11705 State Ave, Brainerd, MN 56401-7307 2007-02-07
1295894269 Roy Dewayne Hankins Psychiatry & Neurology 2558 271 Ave, Madison, MN 56256 2006-12-06
1548345655 Anupama Chauhan Psychiatry & Neurology 13603 80th Cir N, Maple Grove, MN 55369-8961 2006-10-26
1891884326 Highland Psychiatric Services Pa Psychiatry & Neurology 897 St Paul Ave, St Paul, MN 55116 2006-10-12
1427144815 Adam Fox Psychiatry & Neurology 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 2006-10-05
1831280635 Jacob Kerbeshian Psychiatry & Neurology 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 2006-09-27
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Competitor

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City ST CLOUD
Zip Code 56303

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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