Individual
TRICIA L. AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
302 S 2ND ST, MANKATO, MN 56001-3605
(507) 388-8114
(507) 387-7368
Mailing address
302 S 2ND ST, MANKATO, MN 56001-3605
(507) 388-8114
(507) 387-7368
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP4540
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060H0AS
MN BLUE CROSS GROUP #
MN
05
—
755295500
—
MN
01
—
84732
HEALTH PARTNERS GR#
MN
Enumeration date
06/12/2006
Last updated
04/05/2013
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