Organization
KIDWELL PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA KIDWELL PHD, LP (LICENSED PSYCHOLOGIST)
(763) 566-0088
Entity
Organization
Contact information
Practice address
8441 WAYZATA BLVD, SUITE 160, MINNEAPOLIS, MN 55426-1344
(651) 482-9361
Mailing address
8441 WAYZATA BLVD, SUITE 160, MINNEAPOLIS, MN 55426-1344
(651) 482-9361
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5403
MN
Other
Enumeration date
09/12/2013
Last updated
06/18/2014
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