Dr. Kathleen Marie Branstad
Psychologist
22850 Pearl Cir
Detroit Lakes
, Minnesota 56501-7058
Dr. Kathleen Marie Branstad
Psychologist
22850 Pearl Cir
Detroit Lakes
, Minnesota 56501-7058
(218) 846-3430
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Kathleen Marie Branstad
- 22850 Pearl Cir
- Detroit Lakes, MN
- Zip : 56501-7058
- Phone : (218) 846-3430
Second Address
- Dr. Kathleen Marie Branstad
- 22850 Pearl Cir
- Detroit Lakes, MN
- Zip : 56501-7058
- Phone : (218) 846-3430
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | MN | |
| Y | 103T00000X | Psychologist | MN |
National Provider Identifier
| NPI | 1013920545 |
|---|---|
| Provider Name | Dr. Kathleen Marie Branstad |
| First Address | Detroit Lakes, MN 56501-7058 |
| Second Address | Detroit Lakes, MN 56501-7058 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.