Individual
KATHRYN ZOFF-SEIVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. LP
Contact information
Practice address
2000 OLD WEST MAIN, SUITE 329, RED WING, MN 55066-1993
(651) 388-6459
(651) 388-0778
Mailing address
2000 OLD WEST MAIN, SUITE 329, RED WING, MN 55066-1993
(651) 388-6459
(651) 388-0778
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0699
MN
103TC0700X
Clinical Psychologist
MNLP0699
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026216
PREF ONE
—
01
—
125189
U CARE
—
01
—
31478ZO
BCBS
—
01
—
436247100
MHCP
—
01
—
6173554
MEDICA
—
01
—
9218610226216
PEAK
—
01
—
HP33728
HP
—
Enumeration date
12/22/2006
Last updated
04/25/2019
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