| Kathryn O'connell, Llc | |
|
11900 Wayzata Blvd Ste 132 Minnetonka MN 55305-2018 | |
| (612) 845-3554 | |
| Not Available |
| Full Name | Kathryn O'connell, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11900 Wayzata Blvd Ste 132, Minnetonka, Minnesota |
| Authorized Official Name and Position | Kathryn O'connell (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6128453554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn O'connell, Llc 11900 Wayzata Blvd Ste 132 Minnetonka MN 55305-2018 Ph: (612) 845-3554 | Kathryn O'connell, Llc 11900 Wayzata Blvd Ste 132 Minnetonka MN 55305-2018 Ph: (612) 845-3554 |
| NPI Number | 1699107839 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699107839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5224 (Minnesota) | Primary |
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