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Kate Kavanaugh, Ma Lp, Pa
Clinical Psychologist in Eden Prairie, Minnesota
NPI 1396714234

Kate Kavanaugh, Ma Lp, Pa is a Clinical Psychologist based in Eden Prairie, MN and is specialized in Clinical. Kate Kavanaugh, Ma Lp, Pa practices in Eden Prairie, MN. The NPI Number for Kate Kavanaugh, Ma Lp, Pa is 1396714234 and holds a License No. LP2468 (Minnesota).

The current practice location address for Kate Kavanaugh, Ma Lp, Pa is 9531 W. 78Th Street, Eden Prairie, MN and can be reached out via phone at 952-893-9791 and via fax at 952-841-7069.

Location: 9531 W. 78Th Street, Eden Prairie, MN, 55344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396714234
Provider Name
Kate Kavanaugh, Ma Lp, Pa
Credential
Provider Entity Type
Organization
Address
9531 W. 78Th Street, Eden Prairie, MN, 55344
Phone Number
952-893-9791
Fax Number
952-841-7069
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
440053400 01 MN MEDICAL ASSISTANCE
61-16357 01 MN MEDICA
472664907 01 MN VALUEOPTIONS
29G42KA 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
9531 W. 78Th Street
City
Eden Prairie
State
Minnesota
Zip
55344
Phone Number
952-893-9791
Fax Number
952-841-7069
person
Provider Business Mailing Address Details
Address
9531 W. 78Th Street
City
Eden Prairie
State
Minnesota
Zip
55344
Phone Number
952-893-9791
Fax Number
952-841-7069
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP2468 (Minnesota)
Definition
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.
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