Individual
MR. ALLYN KRUMHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
51 E 4TH ST, SUITE 19, WINONA, MN 55987-3507
(507) 458-6538
(507) 454-4420
Mailing address
51 E 4TH ST, SUITE 19, WINONA, MN 55987-3507
(507) 458-6538
(507) 454-4420
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP #1603
MN
103TC1900X
Counseling Psychologist
LP #1603
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
LP #1603
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106962
UCARE MINNESOTA #
MN
01
—
3H088KR
BCBS GROUP #
MN
01
—
3H089KR
BCBS INDIVIDUAL PROVIDER#
MN
01
—
6270799
MEDICA/UBH PROVIDER#
MN
Enumeration date
09/20/2006
Last updated
07/16/2014
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