Individual
LAURA KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1 VETERANS DR, 116 B- PSYCHOLOGY SERVICE, MINNEAPOLIS, MN 55417-2309
(612) 275-2000
Mailing address
1 VETERANS DR, 116 B- PSYCHOLOGY SERVICE, MINNEAPOLIS, MN 55417-2309
(612) 275-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210855
—
OR
Enumeration date
09/01/2009
Last updated
04/29/2013
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