Kate Kavanaugh, Ma Lp, Pa is a Clinical - Psychology Clinic in Eden Prairie, Minnesota. It is located at 9531 W. 78th Street, Suite 110, Eden Prairie, MN and its contact number is 952-893-9791. The authorized person for Kate Kavanaugh, Ma Lp, Pa is Ms. Kathleen Marie Kavanaugh
who is President of the clinic and his/her contact number is 952-893-9791. The primary license number for Kate Kavanaugh, Ma Lp, Pa is LP2468 (Clinical) in Minnesota. Kate Kavanaugh, Ma Lp, Pa Clinic has mental health professionals specialized in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Psychologists main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that psychologists can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Clinic Profile:
Kate Kavanaugh, Ma Lp, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Kate Kavanaugh, Ma Lp, Pa
Specialization:
Clinical Psychology
Clinic Address:
9531 W. 78th Street, Suite 110, Eden Prairie, Minnesota, 55344
Phone:
952-893-9791
Fax:
952-841-7069
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Kathleen Marie Kavanaugh
Position:
President
Contact Number:
952-893-9791
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kate Kavanaugh, Ma Lp, Pa clinic are as mentioned below.
NPI Number:
1396714234
NPI Enumeration Date:
14 Mar, 2006
NPI Last Update On:
03 Jun, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kate Kavanaugh, Ma Lp, Pa are as mentioned below.
Specialization
License Number
State
Status
Clinical
LP2468
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
440053400
Other
Minnesota
Medical Assistance
61-16357
Other
Minnesota
Medica
472664907
Other
Minnesota
Valueoptions
29G42KA
Other
Minnesota
Bcbs
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kate Kavanaugh, Ma Lp, Pa 9531 W. 78th Street, Suite 110 Eden Prairie, Minnesota
Zip:
55344
Phone Number:
952-893-9791
Fax Number:
952-841-7069
Patients can reach Kate Kavanaugh, Ma Lp, Pa at 9531 W. 78th Street, Suite 110, Eden Prairie, Minnesota or can call to book an appointment on 952-893-9791. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.