Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersTOM KERN PH.D., L.P.
Clinical Neuropsychologist
Eden Prairie, Minnesota
Provider NPI: 1689648784
Provider Information:TOM KERN PH.D., L.P.
Gender: M
Not Sole Proprietor
Practice Location:
11800 SINGLETREE LN #203 EDEN PRAIRIE, MN 55344 US
Tel: 952-944-5502 Fax: --
Business Mailing Address:
9637 ANDERSON LAKES PKWY STE. #162 EDEN PRAIRIE, MN 55344 US
Tel: -- Fax: --
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 103T00000X | Behavioral Health & Social Service Providers Psychologist | MN | LP0289 |
| X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | MN | LP0289 |
| X | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | MN | LP0289 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD MN | 279S6KE | MN | 01 |
| HEALTHPARTNERS | HP30512 | MN | 01 |
| MEDICA AND UBH | 61-70220 | MN | 01 |
| UCARE | 123553 | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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