Individual
DR. KATE THEISZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
657 MAIN ST NW STE 214, ELK RIVER, MN 55330-1579
(763) 412-1994
(763) 412-1994
Mailing address
20934 OGDEN ST NW, ELK RIVER, MN 55330-8909
(612) 242-9291
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4647
MN
103TC0700X
Clinical Psychologist
Primary
LP4647
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP4647
MN
Other
Enumeration date
11/21/2006
Last updated
01/08/2021
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