Shannon Marie Kehle
Clinical Psychologist
1 Veterans Dr
Minneapolis
, Minnesota 55417-2309
Shannon Marie Kehle
Clinical Psychologist
1 Veterans Dr
Minneapolis
, Minnesota 55417-2309
(612) 467-1564
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Shannon Marie Kehle
- 1 Veterans Dr
- Minneapolis, MN
- Zip : 55417-2309
- Phone : (612) 467-1564
Second Address
- Shannon Marie Kehle
- 1 Veterans Dr
- Minneapolis, MN
- Zip : 55417-2309
- Phone : (612) 467-1564
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | LP5123 | MN |
| Y | 103TC0700X | Clinical Psychologist | LP5123 | MN |
National Provider Identifier
| NPI | 1003000894 |
|---|---|
| Provider Name | Shannon Marie Kehle |
| First Address | Minneapolis, MN 55417-2309 |
| Second Address | Minneapolis, MN 55417-2309 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2007 |
| Last Update Date | 17/08/2009 |
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.