Individual
MS. KATIE LYN RICKORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LP, SEP
Contact information
Practice address
8441 WAYZATA BLVD STE 290, GOLDEN VALLEY, MN 55426-1346
(612) 619-0086
(651) 344-0820
Mailing address
8441 WAYZATA BLVD STE 290, GOLDEN VALLEY, MN 55426-1346
(612) 619-0086
(651) 344-0820
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 5109
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP59141
HEALTHPARTNERS
MN
Enumeration date
01/02/2007
Last updated
06/11/2026
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