| Kate M Hathaway, Phd, Lp, Inc | |
|
241 Cleveland Ave S Ste P Saint Paul MN 55105 | |
| (651) 796-4423 | |
| Not Available |
| Full Name | Kate M Hathaway, Phd, Lp, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 241 Cleveland Ave S Ste P, Saint Paul, Minnesota |
| Authorized Official Name and Position | Kate M Hathaway (OWNER) |
| Authorized Official Contact | 6517964423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kate M Hathaway, Phd, Lp, Inc 241 Cleveland Ave S Ste P Saint Paul MN 55105-1208 Ph: (651) 796-4423 | Kate M Hathaway, Phd, Lp, Inc 241 Cleveland Ave S Ste P Saint Paul MN 55105 Ph: (651) 796-4423 |
| NPI Number | 1497172084 |
|---|---|
| Provider Enumeration Date | 03/21/2014 |
| Last Update Date | 09/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497172084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP0516 (Minnesota) | Primary |
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