Marla Catherine Kennedy in Minneapolis - Marriage & Family Therapist

Marla Catherine Kennedy - NPI 1023238904

Marla Catherine Kennedy is a Marriage & Family Therapist in Minneapolis, Minnesota. Marla Catherine Kennedy practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Marla Catherine Kennedy is 1023238904. The last update date is 2007-07-09.

Marla Catherine Kennedy's current location address is 4103 East Lake St., Minneapolis, Minnesota. You can contact this provider via phone number 6516456020 and fax number 6516456020. The mailing address for Marla Catherine Kennedy is 4103 East Lake St., Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Marla Catherine Kennedy
Address 4103 East Lake St., Minneapolis, Minnesota
Phone Number 6516456020
Fax Number 6516456020
Sole Proprietor Y
Credentials MA LP LMFT

NPI Number Detail

NPI Number 1023238904
Provider Enumeration Date 2007-04-26
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 4103 East Lake St.
City Minneapolis
State Minnesota (MN)
Post Code 554062259
Phone Number 6516456020
Fax Number 6516456020

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No 666
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HP36121 MN HEALTH PARTNERS OLD
666 MN MARRIAGE AND FAMILY LICEN
72325277000 MN --
LP1248 MN PSYCHOLOGY LICENSE
BC 1GO74KE MN BLUE CROSS

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FAQs about Marla Catherine Kennedy

What is the unique 10-digit identification code issued to Marla Catherine Kennedy by the Centers for Medicare & Medicaid Services?

The Marla Catherine Kennedy has been assigned the NPI (National Provider Identifier) 1023238904 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Marla Catherine Kennedy?

The Marla Catherine Kennedy is physically situated at 4103 East Lake St., in the city of Minneapolis, state of MN, with the postal code 554062259.

What is Marla Catherine Kennedy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Marla Catherine Kennedy is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1023238904 to Marla Catherine Kennedy?

The Centers for Medicare & Medicaid Services originally issued the 1023238904 to Marla Catherine Kennedy on 2007-04-26.

When was the information pertaining to Marla Catherine Kennedy most recently updated or revised?

The details related to Marla Catherine Kennedy, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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