Organization
KATHRINE BRATHEN PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRINE LINN BRATHEN MA, LP (OWNER)
(651) 303-4734
Entity
Organization
Contact information
Practice address
790 CLEVELAND AVE S, SAINT PAUL, MN 55116-3858
(651) 303-4734
(651) 690-0968
Mailing address
1335 CONSERVATORY CT, SAINT PAUL, MN 55117-4589
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP5212
MN
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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