Provider Demographics
NPI:1538245287
Name:MAUREEN GAFFEY, PSY. D., LLC.
Entity type:Organization
Organization Name:MAUREEN GAFFEY, PSY. D., LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:651-644-1813
Mailing Address - Street 1:1600 UNIVERSITY AVE W
Mailing Address - Street 2:SUITE 303
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-3898
Mailing Address - Country:US
Mailing Address - Phone:651-644-1813
Mailing Address - Fax:651-644-1870
Practice Address - Street 1:1600 UNIVERSITY AVE W
Practice Address - Street 2:SUITE 303
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-3898
Practice Address - Country:US
Practice Address - Phone:651-644-1813
Practice Address - Fax:651-644-1870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP3649103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty