Most Relevant Information
Provider Data
| NPI Number: | 1003028796 |
| Provider Name: | PAUL STERLACCI LIC. PSYCHOLOGIST |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC1900X |
| Specialty: | Psychologist |
| License Number: | LP 2567 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2375 UNIVERSITY AVE W
SUITE 160
SAINT PAUL
MN
551141631
Practice Location Phone/Fax
| Phone: | 6516421709 |
| Fax: |
Provider Mailing Location
1645 LAKE VIEW CT
ARDEN HILLS
MN
551122864
Provider Mailing Phone/Fax
| Phone: | 6516390865 |
| Fax: |