| Kathleen Marie Wise, MA, LP | |
|
7600 Bass Lake Rd, Suite 106, New Hope, MN 55428-3860 | |
| (612) 865-9143 | |
| Not Available |
| Full Name | Kathleen Marie Wise |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 7600 Bass Lake Rd, New Hope, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871581017 | NPI | - | NPPES |
| 500526400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP3227 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Marie Wise, MA, LP 205 Lily Pond Cir, Loretto, MN 55357-9654 Ph: () - | Kathleen Marie Wise, MA, LP 7600 Bass Lake Rd, Suite 106, New Hope, MN 55428-3860 Ph: (612) 865-9143 |
Dr. Rebecca Goffman, LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 9220 Bass Lake Rd Ste 255, New Hope, MN 55428 Phone: 763-225-4052 | |
Dr. Ilyssa Siegel, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3506 Aquila Ave N, New Hope, MN 55427 Phone: 763-746-6144 |