=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700831575
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THOMAS KUHLMAN PH.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2006
-----------------------------------------------------
Last Update Date | 04/20/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12100 SINGLETREE LN SUITE 196
-----------------------------------------------------
City | EDEN PRAIRIE
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55344-7919
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 952-949-3415
-----------------------------------------------------
Fax | 952-906-3459
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16211 N HILLCREST CT
-----------------------------------------------------
City | EDEN PRAIRIE
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55346-3721
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 952-949-3415
-----------------------------------------------------
Fax | 952-906-3459
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | THOMAS L. KUHLMAN
-----------------------------------------------------
Credential | PH.D., LP
-----------------------------------------------------
Telephone | 952-949-3415
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | LP1964
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------