Individual
KRISTEN ALEXA BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3818
(763) 559-0149
Mailing address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3818
(763) 559-0149
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4651
MN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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