IndividualActive
Mallory Stevens, LP
NPI 1497482012 · School Psychologist · Woodbury, MN
Provider details
- NPI number
- 1497482012
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Credential
- LP
- Sex
- Female
- Sole proprietor
- No
- License
- LP7087 (MN)
Mailing address
721 Commerce Dr
Woodbury, MN 55125-9118
Registry dates
- Enumerated
- 2022-08-03
- Last updated
- 2024-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.