| Doctor Name: | KATHRYN J ANDERSON |
| NPI Number: | 1093023889 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICENSED PSYCHOLOGIS |
| License Number: | LP5250 |
| Business Practice Address: | 15320 Minnetonka Blvd # 200 Relate Inc Minnetonka, MN - 55345 |
| Business Phone Number: | 9529327277 |
| Business Fax Number: | 9529329827 |
| Mailing Address: | 15320 Minnetonka Blvd, # 200 Relate Inc MINNETONKA |
| State: | MN |
| Postal Code: | 55345 |
| Phone Number: | 9529327277 |
| Fax Number: | 9529329827 |
| NPI Enumeration Date: | 09/15/2010 |
| NPI Last Update Date: | 09/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP5250 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |