Wise, Kathleen Marie
Wise, Kathleen Marie is an sole proprietor health care provider with primary practice located at 7600 Bass Lake Rd Suite 106, New Hope MN 55428-3860. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wise, Kathleen Marie can be contacted via phone (612) 865-9143.Contact Information
Primary practice address
7600 Bass Lake Rd Suite 106
New Hope MN 55428-3860
Phone: (612) 865-9143
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3227 | Minnesota |
Profile Details
| NPI number | 1871581017 |
|---|---|
| LBN Legal business name | Wise, Kathleen Marie |
| Credentials | M.A., L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jul 16th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871581017 | NPPES |
| Minnesota | MEDICAID | 500526400 |
Popular Providers
-
Bowen, Julieanna
9220 Bass Lake Rd Suite 260, New Hope MN 55428-3000 -
Johansen, Meaghan Morley Ament
1407 S State St , New Ulm MN 56073-3715 -
Ziebarth, Mark James
1900 Silver Lake Rd Nw Suite 110, New Brighton MN 55112-1786 -
Henrich, John R.
516 Mission House Lane , New Brighton MN 55112-2751 -
Thompson, Duane Hugh
2475 15Th St Nw Suite F, New Brighton MN 55112-5605 -
Reinhart, Jana Louise
1900 Silver Lake Rd Nw Suite 110, New Brighton MN 55112-1786 -
Werner, Glenn Allen
1900 Silver Lake Rd Nw Suite 110, New Brighton MN 55112-1786 -
Bluvshtein, Marina
4900 Highway 169 N Suite 309, New Hope MN 55428-4058