Individual
KATHLEEN MARIE LAURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1716
(515) 271-1726
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1716
(515) 271-1726
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001071
IA
103T00000X
Psychologist
LP4338
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620006886
MEDICARE RAILROAD
MN
05
—
734406600
—
MN
Enumeration date
12/21/2005
Last updated
08/22/2024
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