Individual
PATTI ANN VENEKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 LAKE ST S STE 102, LONG PRAIRIE, MN 56347-7122
(320) 732-7111
Mailing address
221 LAKE ST S STE 102, LONG PRAIRIE, MN 56347-7122
(320) 732-7111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2812
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116682
HEALTH PARTNERS
MN
01
—
126424
UCARE
MN
01
—
543P1VE
BCBS
MN
01
—
6269566
UBH MEDICA
MN
Enumeration date
07/25/2006
Last updated
07/09/2007
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