Individual
MS. KATHRYN NAOMI HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
2115 COUNTY ROAD D E, SUITE B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591
Mailing address
2115 COUNTY ROAD D E, SUITE B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP3782
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036316200
—
MN
01
—
111201
BHP AND UCARE
MN
01
—
375G3HA
BLUE CROSS BLUE SHIELD
MN
01
—
6267153
UBH AND MEDICA
MN
01
—
HP45668
HEALTH PARTNERS
MN
Enumeration date
11/17/2006
Last updated
07/09/2007
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