| Doctor Name: | JOSEPH P. SUNDEEN |
| NPI Number: | 1003081779 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | LPP 0124 |
| Business Practice Address: | 155 Wabasha St S Suite 120 Saint Paul, MN - 551071801 |
| Business Phone Number: | 6512210913 |
| Business Fax Number: | |
| Mailing Address: | 155 Wabasha St S, Suite 120 SAINT PAUL |
| State: | MN |
| Postal Code: | 551071801 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2008 |
| NPI Last Update Date: | 11/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPP 0124 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |