Venables, Kristin M

Venables, Kristin M is an individual health care provider with primary practice located at 4225 Golden Valley Rd , Golden Valley MN 55422-4215. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Venables, Kristin M can be contacted via phone (763) 588-0661.

Contact Information

Primary practice address
4225 Golden Valley Rd Golden Valley MN 55422-4215
Phone: (763) 588-0661
Fax: (763) 302-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY8956 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP5885 Minnesota

Profile Details

NPI number 1407116155
LBN Legal business name Venables, Kristin M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2012
Last updated Jan 24th, 2024 - about 2 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 1407116155 NPPES
Georgia Other PSY003569 MEDICAL LICENSE
Georgia Other LP5885 MEDICAL LICENSE

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