NPI 1194683599

Stephen Costello, PSYDLP

Practitioner Psychologist Roseville, MN

Practice location

Address: 1611 County Road B W STE 202, Roseville, MN 55113-4053
Phone: (651) 300-1112
Mailing address: 689 Woodduck Dr Unit I, Woodbury, MN 55125-1824

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence LP7300 (MN)

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Registry record

NPI: 1194683599
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2026
Record last updated: 13 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.