Individual
DR. KATHERINE IVY MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
721 3RD ST N UNIT 506, MINNEAPOLIS, MN 55401-4503
(949) 554-9454
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
39971
TX
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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