Individual
DR. LUANN MARIEDA KLINDWORTH-ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LP
Contact information
Practice address
1811 WEIR DR STE 270, WOODBURY, MN 55125-6741
(651) 714-9646
(651) 714-9647
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP4039
MN
103TC0700X
Clinical Psychologist
Primary
LP4039
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LP4039
MN
Other
Enumeration date
06/01/2006
Last updated
05/19/2020
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