Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH CHARLES WADUM, ED.D.
Active Sole ProprietorDR. KENNETH CHARLES WADUM, ED.D. is a Clinical Psychologist healthcare provider located in ROCHESTER, Minnesota. NPI 1225191976 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ROCHESTER, MN
Registration Details
- NPI Number
- 1225191976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 17, 2006 (19.468538491315 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LP2777 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1700 N BROADWAYSUITE 118ROCHESTER, MN, 559064144Browse MN providers · Browse ZIP 55906
- Phone
- 5072800225
- Fax
- 5072808780
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in ROCHESTER, MN
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL R BASSO | PH.D. | 1497751291 |
| SHAWNA LEE EHLERS | PHD | 1396722013 |
| KRISTIN S VICKERS | PHD | 1497733117 |
| RICHARD JOHN SEIME | PHD | 1497733802 |
| MATTHEW M. CLARK | PHD | 1366420895 |
| DR. NORMAN HANS RASMUSSEN | EDD | 1740268036 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.