SHANNON MARIE KEHLE PH.D., L.P. NPI 1003000894
Psychologist (Clinical) in Minneapolis, MN
About SHANNON KEHLE
Shannon Kehle is a provider established in Minneapolis, Minnesota and her medical specialization is psychologist. The NPI number of Shannon Kehle is 1003000894 and was assigned on September 2007. The practitioner's primary taxonomy code is 103TC0700X with license number LP5123 (MN). The provider is registered as an individual and her NPI record was last updated 11 years ago.
| NPI | 1003000894 |
| Provider Name | SHANNON MARIE KEHLE PH.D., L.P. |
| Provider Location Address | 1 VETERANS DR MINNEAPOLIS, MN 55417 |
| Provider Mailing Address | 1 VETERANS DR MINNEAPOLIS, MN 55417 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-05-2007 |
| Last Update Date | 08-17-2009 |
Primary Taxonomy
| Taxonomy Code | 103TC0700X |
| Classification | Psychologist |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Clinical |
| License No. | LP5123 |
| License State | MN |
| Taxonomy Description | A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. |
Business Address
SHANNON MARIE KEHLE PH.D., L.P.
1 VETERANS DR
MINNEAPOLIS, MN
ZIP 55417
Phone: (612) 467-1564
Mailing Address
SHANNON MARIE KEHLE PH.D., L.P.
1 VETERANS DR
MINNEAPOLIS, MN
ZIP 55417
Phone: (612) 467-1564
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023012762 | MR. PETER T. MITCHELL M.S.N., R.N., C.N.P. Individual | Nurse Practitioner (Family) | 1 VETERANS DR 111H MINNEAPOLIS, MN 55417 (612) 467-2986 |
| 1093789182 | BRIDGET HEGEMAN PHD., L.P. Individual | Psychologist (Clinical) | 1 VETERANS DR 116B MINNEAPOLIS, MN 55417 (612) 467-2074 |
| 1134183973 | CRAIG WILLIAM JOHNSEN CRNA Individual | Nurse Anesthetist, Certified Registered | 1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2119 |
| 1144278953 | DR. KATHY JEAN CHRISTENSEN PH.D. Individual | Clinical Neuropsychologist | 1 VETERANS DR GRECC (11G) VA MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 467-3307 |
| 1154383040 | MRS. GLORIA DULLINGER-BROWN CRNA Individual | Nurse Anesthetist, Certified Registered | 1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2000 |
| 1215986724 | DR. JEANETTE IRENE HARRIS PH.D. Individual | Psychologist (Clinical) | 1 VETERANS DR MAILSTOP 116B MINNEAPOLIS, MN 55417 (612) 725-2000 |
| 1225013881 | DR. KEN M KUNISAKI M.D. Individual | Internal Medicine (Pulmonary Disease) | 1 VETERANS DR PULMONARY 111N MINNEAPOLIS, MN 55417 (612) 467-4400 |
| 1245298421 | MR. CHRIS (NONE) STENSETH NP Individual | Nurse Practitioner (Family) | 1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2000 |
| 1275599136 | CHAITANYA ANAND MD Individual | Internal Medicine | 1 VETERANS DR VETERAN AFFAIR MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 725-2000 |
| 1295792703 | DR. JENNIE LESKELA PH.D. Individual | Psychologist (Clinical) | 1 VETERANS DR VAMC, PTSR, 116A6 MINNEAPOLIS, MN 55417 (612) 725-2125 |
| 1437134152 | DR. BERET ANNE SKROCH PSY.D. Individual | Psychologist (Clinical) | 1 VETERANS DR # 116A MINNEAPOLIS, MN 55417 (612) 467-4608 |
| 1437137544 | BRIAN S FIEDLER MD Individual | Radiology (Diagnostic Radiology) | 1 VETERANS DR MAIL CODE 114 VA MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 467-2038 |
| 1487610028 | DR. KYLE PROVINE LEHENBAUER M.D. Individual | Internal Medicine | 1 VETERANS DR GENERAL INTERNAL MEDICINE (1110) MINNEAPOLIS, MN 55417 (612) 467-2679 |
| 1508844234 | DR. MARK A KLEIN MD Individual | Internal Medicine (Hematology & Oncology) | 1 VETERANS DR 111E MINNEAPOLIS VETERANS AFFAIRS MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 725-2000 |
| 1710984810 | LISA HANSON DROGEMULLER RPH, BCPP Individual | Pharmacist (Psychiatric) | 1 VETERANS DR VA MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 660-7137 |
| 1760449722 | DR. KAREN ANN KATTAR PSYD Individual | Psychologist (Clinical) | 1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 467-2125 |
| 1780655472 | MR. JEREMY D NIETZ PA-C Individual | Physician Assistant (Medical) | 1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2000 |
| 1801858253 | MR. MARK GARY PENZENSTADLER MS, CRNA Individual | Nurse Anesthetist, Certified Registered | 1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2119 |
| 1972560555 | WENDY L RUBLE OTR L Individual | Occupational Therapist | 1 VETERANS DR VA MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 467-2368 |
| 1982662318 | DR. JULIA NICHOLE PERRY PHD, LP Individual | Psychologist (Clinical) | 1 VETERANS DR (116A) MINNEAPOLIS, MN 55417 (612) 467-1664 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.