Individual
DR. TATIANA KOMLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP.
Contact information
Practice address
100 FREEMAN DR, SAINT PETER, MN 56082-3504
(507) 985-2530
Mailing address
100 FREEMAN DR, SAINT PETER, MN 56082-3504
(507) 985-2530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
5990
MN
103TC0700X
Clinical Psychologist
Primary
5990
MN
103TH0004X
Health Psychologist
5990
MN
103TH0100X
Health Service Psychologist
5990
MN
103TP2701X
Group Psychotherapy Psychologist
5990
MN
103TR0400X
Rehabilitation Psychologist
5990
MN
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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