Individual
DR. HOLLY H CLAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
15 E MINNESOTA ST STE 105, SAINT JOSEPH, MN 56374-4691
(320) 363-8055
(320) 363-8056
Mailing address
15 E MINNESOTA ST STE 105, SAINT JOSEPH, MN 56374-4691
(320) 363-8055
(320) 363-8056
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP3529
MN
2084N0400X
Neurology Physician
LP3529
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015083
PREFERRED ONE
MN
05
—
108014800
—
MN
01
—
169452
UCARE
MN
01
—
2028501
BLUE CROSS
MN
01
—
268J1CL
BLUES
MN
01
—
6149957
MEDICA
MN
Enumeration date
04/26/2006
Last updated
05/28/2020
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