Organization
KATHRYN O'CONNELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN O'CONNELL MA, LP (LICENSED PSYCHOLOGIST)
(612) 845-3554
Entity
Organization
Contact information
Practice address
11900 WAYZATA BLVD STE 132, MINNETONKA, MN 55305-2018
(612) 845-3554
Mailing address
11900 WAYZATA BLVD STE 132, MINNETONKA, MN 55305-2018
(612) 845-3554
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5224
MN
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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