Individual
DR. KAREN NICOLE CHINNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, LP
Contact information
Practice address
930 BLUE GENTIAN RD, EAGAN, MN 55121-1674
(651) 348-8851
Mailing address
1957 SCHOOLMASTER DR, CHASKA, MN 55318-4554
(732) 979-3767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6468
MN
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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