Individual
KAREN M ORTLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
302 S 2ND ST, MANKATO, MN 56001-3605
(507) 388-8114
(507) 388-8068
Mailing address
302 S 2ND ST, MANKATO, MN 56001-3605
(507) 388-8114
(507) 388-8068
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP3013
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121987
MN UCARE
MN
01
—
6278537
MEDICA UBH
MN
01
—
63G89OR
MN BCBS
MN
01
—
990991032557
PREFERRED ONE BEH HEALTH
MN
01
—
HP29670
HEALTH PARTNERS
MN
Enumeration date
09/11/2006
Last updated
07/09/2007
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