Kittelson, Mary Lynn

Kittelson, Mary Lynn is an sole proprietor health care provider with primary practice located at 1711 County Road B W Suite 205-S, Roseville MN 55113-4057. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kittelson, Mary Lynn can be contacted via phone (651) 276-0305.

Contact Information

Primary practice address
1711 County Road B W Suite 205-S Roseville MN 55113-4057
Phone: (651) 276-0305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X Zz
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2078 Minnesota

Profile Details

NPI number 1174788947
LBN Legal business name Kittelson, Mary Lynn
Credentials LP, JUNGIAN ANALYST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2008
Last updated Jul 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174788947 NPPES
New York Other P911100 NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF PSYCHOANALYSIS
New York Other 1409168 NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF PSYCHOANALYSIS

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