Organization Name: | KATHRYN ZOFF SEIVERT PHD LP PA |
NPI Number: | 1225196512 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHRYN ZOFF-SEIVERT (LICENSED PSYCHOLOGIST) |
Mailing Address: | 1751 Reichert Ave Red Wing |
State: | MN US |
Postal Code: | 55066 |
Phone Number: | 6513886459 |
Fax Number: | 6513859052 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | MNLP0699 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |