Healthcare Provider Details

I. General information

NPI: 1023195443
Provider Name (Legal Business Name): COLETTE KUHN L.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 HIGHWAY 100 S SUITE 250
ST LOUIS PARK MN
55416-1529
US

IV. Provider business mailing address

2550 UNIVERSITY AVE W SUITE 304N
SAINT PAUL MN
55114-1052
US

V. Phone/Fax

Practice location:
  • Phone: 651-645-5323
  • Fax: 952-746-5962
Mailing address:
  • Phone: 651-645-5323
  • Fax: 651-647-5135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP0942
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: