STEPHANIE RAE FORNESS CP

CANVAS HEALTH INC

Dr STEPHANIE RAE FORNESS CP is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2003.

Contact

CANVAS HEALTH INC

7066 STILLWATER N BLVD
OAKDALE
MN
551283937

Tel: 6517775222

STEPHANIE RAE FORNESS CP Information

Npi 1275545527
Pac Id 1052361680
Professional Enrollment Id I20050131000940
Last Name FORNESS
First Name STEPHANIE
Middle Name RAE
Suffix
Gender F
Credential CP
Medical School Name OTHER
Graduation Year 2003
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CANVAS HEALTH INC
Group Practice Pac Id 8729073978
Number Of Group Practice Members 15
Line 1 Street Address 7066 STILLWATER N BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OAKDALE
State MN
Zip Code 551283937
Phone Number 6517775222
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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