DR. KATHLEEN MICHELLE PETERSEN PHD
NPI 1609510858
Psychologist - School in Excelsior, MN
About Dr. Kathleen Michelle Petersen Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN MICHELLE PETERSEN PHD (NPI 1609510858) is an individual school provider in Excelsior, Minnesota, licensed in Minnesota (5567) and active in the NPI registry since April 2022.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathleen Petersen's NPI number?
The NPI number for Kathleen Petersen is 1609510858. It was assigned to this individual provider in the NPPES registry on April 25, 2022.
Where is Kathleen Petersen located?
Kathleen Petersen practices at 202 Water St Ste 208, Excelsior, MN 55331. The listed phone number is (612) 615-3575.
What is Kathleen Petersen's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.
When was this NPI record last updated?
The NPPES record for Kathleen Petersen was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.