Doctor Name: | DR. TAMARIND KNUTSON |
NPI Number: | 1003149717 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D., L.P. |
License Number: | LP5137 |
Business Practice Address: | 1360 Energy Park Dr Ste 340 Saint Paul, MN - 551085298 |
Business Phone Number: | 6516468985 |
Business Fax Number: | |
Mailing Address: | Po Box 120836, SAINT PAUL |
State: | MN |
Postal Code: | 551120025 |
Phone Number: | 6516468985 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2009 |
NPI Last Update Date: | 04/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP5137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |