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TOM 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:

PrimaryCodeCategory/DescriptionStateLicense Number
X103T00000XBehavioral Health & Social Service Providers
Psychologist
MNLP0289
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MNLP0289
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
MNLP0289

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD MN279S6KEMN01
HEALTHPARTNERSHP30512MN01
MEDICA AND UBH61-70220MN01
UCARE123553MN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MN - Page 1

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