Mrs. Marla Catherine Kennedy
Counseling Psychologist
4103 East Lake St.
Minneapolis
, Minnesota 55406-2259
Mrs. Marla Catherine Kennedy
Counseling Psychologist
4103 East Lake St.
Minneapolis
, Minnesota 55406-2259
(651) 645-3303
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Marla Catherine Kennedy
- 2259 Summit Ave.
- Saint Paul, MN
- Zip : 55105-1002
- Phone : (651) 645-3303
Second Address
- Mrs. Marla Catherine Kennedy
- 4103 East Lake St.
- Minneapolis, MN
- Zip : 55406-2259
- Fax : (651) 645-6020
- Phone : (651) 645-6020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TC1900X | Counseling Psychologist | LP 1248 | MN |
National Provider Identifier
| NPI | 1023238904 |
|---|---|
| Provider Name | Mrs. Marla Catherine Kennedy |
| First Address | Saint Paul, MN 55105-1002 |
| Second Address | Minneapolis, MN 55406-2259 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0666 | MARRIAGE AND FAMILY LICEN (01) | MN |
| 72325277000 | (05) | MN |
| BC 1GO74KE | BLUE CROSS (01) | MN |
| HP36121 | HEALTH PARTNERS OLD (01) | MN |
| LP1248 | PSYCHOLOGY LICENSE (01) | MN |
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.