| Doctor Name: | LINDA CLAIRE RICHARDSON-BEAIRD |
| NPI Number: | 1972652766 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA RN CNS |
| License Number: | R0639989 |
| Business Practice Address: | 4601 Excelsior Blvd Suite 501b St. Louis Park, MN - 55416 |
| Business Phone Number: | 6125816918 |
| Business Fax Number: | 9529333511 |
| Mailing Address: | 4601 Excelsior Blvd, Suite 501b ST. LOUIS PARK |
| State: | MN |
| Postal Code: | 55416 |
| Phone Number: | 6125816918 |
| Fax Number: | 9529333511 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 05/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | R0639989 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |