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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENT KODALEN, PH.D.

Active Sole Proprietor

DR. KENT KODALEN, PH.D. is a Child, Clinical Psychologist healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1881006880 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · MINNEAPOLIS, MN

Registration Details

NPI Number
1881006880
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2014 (12.267578454109 yrs)
Last Updated
May 24, 2014
License
5742 (MN)
Sole Proprietor
Yes

Practice Information

Address
2525 CHICAGO AVE
MAIL STOP 17-217
MINNEAPOLIS, MN, 554044518
Browse MN providers · Browse ZIP 55404
Phone
6128137042
Primary Specialty
Child, Clinical Psychologist
103TC2200X

Other Child, Clinical Psychologist Providers in MINNEAPOLIS, MN

Name Credential NPI
DR. MARY K ZIELINSKI PHD LP 1659366011
JULIA K REID PHD LP 1598750960
SHERRIE L KAMM PHD LP 1912992298
PAULA J PITTERLE PHD LP 1962476655
LYNDA RICHTSMEIER CYR PHD LP 1316911001
DR. JULIA ---- DAVIS PH.D., L.P. 1225041551
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.