Healthcare Provider Details

I. General information

NPI: 1679511885
Provider Name (Legal Business Name): THOMAS L. KUHLMAN PH.D.,LP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 01/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12100 SINGLETREE LN SUITE 196
EDEN PRAIRIE MN
55344-7919
US

IV. Provider business mailing address

16211 N HILLCREST CT
EDEN PRAIRIE MN
55346-3721
US

V. Phone/Fax

Practice location:
  • Phone: 952-949-3415
  • Fax: 952-906-3459
Mailing address:
  • Phone: 952-949-3415
  • Fax: 952-906-3459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP1964
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1024-057
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: