Individual
KATHLEEN WOODS HOOGERHYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
360 SHERMAN ST STE 200, SAINT PAUL, MN 55102-2567
(651) 220-6720
(651) 220-6707
Mailing address
2910 CENTRE POINTE DRIVE, 35-121A, ROSEVILLE, MN 55113-1182
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP4891
MN
103TC0700X
Clinical Psychologist
Primary
LP4891
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP4891
MN
103TH0100X
Health Service Psychologist
LP4891
MN
Other
Enumeration date
12/31/2007
Last updated
07/25/2013
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