Organization
ADHD&U
Active
Other names
Katherine Quie
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE QUIE PHD, L.P. (LICENSED CLINICAL PSYCHOLOGIST)
(651) 675-6273
Entity
Organization
Contact information
Practice address
2196 CARTER AVE, SAINT PAUL, MN 55108-1709
(651) 675-6273
Mailing address
2196 CARTER AVE, SAINT PAUL, MN 55108-1709
(651) 675-6273
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP4497
BOARD OF PSYCHOLOGY
MN
Enumeration date
06/25/2020
Last updated
06/25/2020
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