| Doctor Name: | THERESA MARIE MCCABE LAU |
| NPI Number: | 1023067873 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 45771 |
| Business Practice Address: | 1900 Centra Care Cir Ste 1325 St Cloud, MN - 56303 |
| Business Phone Number: | 3202555796 |
| Business Fax Number: | 3202295179 |
| Mailing Address: | 1406 6th Ave N, ST CLOUD |
| State: | MN |
| Postal Code: | 56303 |
| Phone Number: | 3202512700 |
| Fax Number: | 3206567026 |
| NPI Enumeration Date: | 05/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0804X |
| License Number: | 45771 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Child & Adolescent Psychiatry |
| Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |