DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. BRUCE ALLAN KOHLHASE M.A., L.P.

MEDICARE: MR. BRUCE ALLAN KOHLHASE M.A., L.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistLP 1960MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10G337KOOTHERMNBLUE CROSS/BLUE SHIELD
262-68428OTHERMNMEDICA-UBH NUMBER

General Provider Information

NPI Number : 1336234624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRUCE ALLAN KOHLHASE M.A., L.P.
Provider Business Mailing Address
First Line : 4826 CHICAGO AVE. S.
Second Line : SUITE 104
City : MINNEAPOLIS
State : MN
Zip : 55417-1055
Country : US
Telephone Number : 612-823-1507
Fax Number :
Provider Business Practice Location Address
First Line : 4826 CHICAGO AVE. S.
Second Line : SUITE 104
City : MINNEAPOLIS
State : MN
Zip : 55417-1055
Country : US
Telephone Number : 612-823-1507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/09/2007

Similar Medicare Providers

1528380268 — ANTOINETTE SCHUTTA L.P.
Practice Location Address:
4826 CHICAGO AVE STE 105
MINNEAPOLIS, MN
55417-1055
Practice Phone: 612-827-3028
Practice Fax:
1437541802 — MS. ALICE BROWN L.I.C.S.W.
Practice Location Address:
4826 CHICAGO AVE STE 105
MINNEAPOLIS, MN
55417-1055
Practice Phone: 612-827-3028
Practice Fax: 612-823-4993
1417484049 — LYDIA MAJORS-ROLAND LPCC
Practice Location Address:
4826 CHICAGO AVE STE 105
MINNEAPOLIS, MN
55417-1055
Practice Phone: 612-827-3028
Practice Fax: 612-823-4993
1255982211 — MS. JOANNA LYNN JOHNSON LICSW
Practice Location Address:
4826 CHICAGO AVE STE 105
MINNEAPOLIS, MN
55417-1055
Practice Phone: 612-827-3028
Practice Fax:
1013609130 — MIKAYLA C CLEMENTS LICSW
Practice Location Address:
4826 CHICAGO AVE STE 105
MINNEAPOLIS, MN
55417-1055
Practice Phone: 612-827-3028
Practice Fax:
1649096702 — HOLLY DIANE CLARK LICSW
Practice Location Address:
4826 CHICAGO AVE STE 105
MINNEAPOLIS, MN
55417-1055
Practice Phone: 952-201-5351
Practice Fax:

Directions to “ MR. BRUCE ALLAN KOHLHASE M.A., L.P.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.