Individual
DR. KATHLEEN JEAN FEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
189 EGRET LN, MARINE ON SAINT CROIX, MN 55047-8641
(651) 308-5581
Mailing address
189 EGRET LN, MARINE ON SAINT CROIX, MN 55047-8641
(651) 308-5581
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4051
MN
103TR0400X
Rehabilitation Psychologist
LP4051
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097L6FE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/09/2005
Last updated
09/03/2019
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