Individual
DR. RICHARD DAVID KOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9701 SANDRA LN, MINNETONKA, MN 55305-4632
(952) 935-7864
(952) 935-7864
Mailing address
9701 SANDRA LN, MINNETONKA, MN 55305-4632
(952) 935-7864
(952) 935-7864
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP2471
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
572024900
—
MN
01
—
6169755
UNITED BEHAVIORAL HEALTH
MN
01
—
9H438KO
BLUE CROSS AND BLUE SHIEL
MN
Enumeration date
12/27/2006
Last updated
07/08/2007
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