Individual
DR. MARK KLEIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D. L.P.
Contact information
Practice address
1400 MADISON AVE STE 628, MANKATO, MN 56001-5488
(507) 779-7366
(507) 779-7367
Mailing address
132 TANAGER PATH, MANKATO, MN 56001-6283
(901) 598-2004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5190
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356630438
—
MN
Enumeration date
03/29/2011
Last updated
07/21/2022
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