Conlon, Kathleen Mary
Conlon, Kathleen Mary is an individual health care provider with primary practice located at 3919 W 44Th St Ste 200 , Edina MN 55424-1032. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Conlon, Kathleen Mary can be contacted via phone (952) 922-1977.Contact Information
Primary practice address
3919 W 44Th St Ste 200
Edina MN 55424-1032
Phone: (952) 922-1977
Fax: (952) 922-1980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5735 | Minnesota |
Profile Details
| NPI number | 1407075401 |
|---|---|
| LBN Legal business name | Conlon, Kathleen Mary |
| Credentials | L.I.C.S.W. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407075401 | NPPES |
| Minnesota | Other | 5H605CO | BLUE SHIELD INDIVIDUAL |
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