Mr Bruce Allan Kohlhase, MA, LP - Psychologist in Minneapolis, MN

Mr Bruce Allan Kohlhase, MA, LP is a Psychologist based in Minneapolis, Minnesota. Mr Bruce Allan Kohlhase is licensed to practice in Minnesota (license number LP 1960) and his current practice location is 4826 Chicago Ave. S., Suite 104, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at (612) 823-1507.

NPI number for Mr Bruce Allan Kohlhase is 1336234624 and his current mailing address is 4826 Chicago Ave. S., Suite 104, Minneapolis, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336234624.

Contact Information

Mr Bruce Allan Kohlhase, MA, LP
4826 Chicago Ave. S., Suite 104,
Minneapolis, MN 55417-1055
(612) 823-1507
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Bruce Allan Kohlhase
GenderMale
SpecialityPsychologist
Location4826 Chicago Ave. S., Minneapolis, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336234624
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mr Bruce Allan Kohlhase such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336234624NPI-NPPES
0G337KOOtherMNBLUE CROSS/BLUE SHIELD
62-68428OtherMNMEDICA-UBH NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LP 1960 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bruce Allan Kohlhase is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Bruce Allan Kohlhase, MA, LP
4826 Chicago Ave. S., Suite 104,
Minneapolis, MN 55417-1055

Ph: (612) 823-1507
Mr Bruce Allan Kohlhase, MA, LP
4826 Chicago Ave. S., Suite 104,
Minneapolis, MN 55417-1055

Ph: (612) 823-1507

Reviews and Comments


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