| Adhd&u | |
|
2196 Carter Ave Saint Paul MN 55108-1709 | |
| (651) 675-6273 | |
| Not Available |
| Full Name | Adhd&u |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2196 Carter Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Katherine Quie (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6516756273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adhd&u 2196 Carter Ave Saint Paul MN 55108-1709 Ph: (651) 675-6273 | Adhd&u 2196 Carter Ave Saint Paul MN 55108-1709 Ph: (651) 675-6273 |
| NPI Number | 1184240103 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184240103 | NPI | - | NPPES |
| LP4497 | Other | MN | BOARD OF PSYCHOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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