LINDA WONDRASCH (NPI# 1396722211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396722211 |
| Entity Type | Individual |
| Full Name | LINDA WONDRASCH |
| Practice Address |
6490 Excelsior Blvd Ste W505 St Louis Park MN 55426-4705 |
| Mailing Address |
6465 Wayzata Blvd Ste 315 Minneapolis MN 55426-1728 |
| Practice Telephone | 9529936200 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP4415 | MN | Behavioral Health & Social Service Providers |
| Street Address |
6490 EXCELSIOR BLVD STE W505 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275516817 | Allyson M Hayward | Social Worker | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2005-11-29 |
| 1043451040 | Kristen Cecile Kading | Pharmacist | 6490 Excelsior Blvd, St Louis Park, MN 55426-4705 | 2009-03-20 |
| 1275779902 | Andrea Arvold | Dietitian, Registered | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2008-12-31 |
| 1609040856 | Urology Associates, Ltd | Urology | 6490 Excelsior Blvd, Suite E202, St Louis Park, MN 55426-4705 | 2008-04-18 |
| 1154591683 | Sharon M Johnson | Dietitian, Registered | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2008-03-12 |
| 1023206935 | Tamara A Johnson | Physician Assistant | 6490 Excelsior Blvd, Ste W200, St Louis Park, MN 55426-4705 | 2007-10-05 |
| 1699965319 | Anna Pasternak Levine | Advanced Practice Midwife | 6490 Excelsior Blvd, Ste E111, St Louis Park, MN 55426-4705 | 2007-07-30 |
| 1578627717 | Arlene R Lutenegger | Psychologist | 6490 Excelsior Blvd, Suite W505, St Louis Park, MN 55426 | 2006-12-21 |
| 1710040209 | Burrel H Deaton | Dermatology | 6490 Excelsior Blvd, Suite W406, St Louis Park, MN 55426 | 2006-12-18 |
| 1689741670 | Susan Aleta Cleaveland | Physical Therapist | 6490 Excelsior Blvd, St Louis Park, MN 55426-4705 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265768337 | Natalie Marie Marr | Psychologist | 6121 Excelsior Blvd, Ste 101a, St Louis Park, MN 55416-2752 | 2009-10-26 |
| 1205038387 | Alyson Mease Vanahn | Psychologist | 4240 Park Glen Rd, St Louis Park, MN 55416 | 2007-06-01 |
| 1669694550 | Deborah Bushway | Psychologist | Parkdale Plaza, 1660 South Hwy 100, St Louis Park, MN 55427 | 2007-05-02 |
| 1508988981 | Sandra Ruth Streitman | Psychologist | 9031 W 34th St, St Louis Park, MN 55426-3703 | 2007-04-04 |
| 1215055587 | Dawn Elizabeth Mcclelland | Psychologist | 1660 S Hwy 100, #428, St Louis Park, MN 55416 | 2007-03-26 |
| 1770636771 | Lydia Gail Roth-laube | Psychologist | 1660 Highway 100 S Ste 142, St Louis Park, MN 55416-1562 | 2007-01-21 |
| 1033208566 | Sharon Kay Ondich | Psychologist | 5353 Gamble Drive, Suite 108, St Louis Park, MN 55416-1539 | 2006-10-12 |
| 1013970250 | Rachel Jane Allyn | Psychologist | 4200 Minnetonka Blvd, St Louis Park, MN 55416-5191 | 2006-04-10 |
| 1275519795 | David Randal | Psychologist | Park Nicollet Clinic Idc, 3800 Park Nicollet Blvd, St Louis Park, MN 55416 | 2005-12-16 |
| 1265427629 | Renee T Vonweiss | Psychologist | 4500 Park Glen Rd, Suite 450, St Louis Park, MN 55416-4871 | 2005-09-13 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on LINDA WONDRASCH.
| 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.