Organization
CARLI BRAUN KODY, PHD, LP, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLI BRAUN KODY PHD, LP (OWNER/LICENSED PSYCHOLOGIST)
(651) 272-9777
Entity
Organization
Contact information
Practice address
700 COMMERCE DR STE 295, WOODBURY, MN 55125-9245
(651) 272-9777
Mailing address
700 COMMERCE DR STE 295, WOODBURY, MN 55125-9245
(651) 272-9777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 5404
MN
103TC1900X
Counseling Psychologist
LP 5404
MN
103TP2701X
Group Psychotherapy Psychologist
LP 5404
MN
Other
Enumeration date
10/06/2014
Last updated
03/06/2022
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