Individual
DR. PATRICIA KNISKERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D, LP
Contact information
Practice address
7039 20TH AVE, CENTERVILLE, MN 55038-9737
(651) 288-0332
Mailing address
970 PICKETT ST N, BAYPORT, MN 55003-1707
(612) 473-5246
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6748
MN
Other
Enumeration date
11/01/2021
Last updated
11/27/2024
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