Individual
KATHLEEN ANN VADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
6950 FRANCE AVE S, 14, EDINA, MN 55435-2008
(952) 929-3123
(952) 929-3443
Mailing address
6950 FRANCE AVE S, 14, EDINA, MN 55435-2008
(952) 929-3123
(952) 929-3443
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3026
MN
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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