Ketchum, Sophia Louise
Ketchum, Sophia Louise is an individual health care provider with primary practice located at 4236 Park Glen Rd , Saint Louis Park MN 55416-4758. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ketchum, Sophia Louise can be contacted via phone (952) 888-7055.Contact Information
Primary practice address
4236 Park Glen Rd
Saint Louis Park MN 55416-4758
Phone: (952) 888-7055
Fax: (612) 605-3312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1831821354 |
|---|---|
| LBN Legal business name | Ketchum, Sophia Louise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2022 |
| Last updated | Jun 24th, 2022 - about 3 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.
Popular Providers
-
Brixius, Sarah Marie
7010 Highway 7 , Saint Louis Park MN 55426-4223 -
Osman, Kassim Abdi
4236 Park Glen Rd , Saint Louis Park MN 55416-4758 -
Omar, Khalid Shafie
4236 Park Glen Rd , Saint Louis Park MN 55416-4758 -
Anderson, Claire
7010 Highway 7 , St Louis Park MN 55426-4223 -
Abdi, Maryam A M
4236 Park Glen Rd , Saint Louis Park MN 55416-4758 -
Trihey, Lurendia Marie
4236 Park Glen Rd , Saint Louis Park MN 55416-4758 -
Moore, Britt
7010 Highway 7 , Saint Louis Park MN 55426-4223 -
Dolash, Nicole
4236 Park Glen Rd , Saint Louis Park MN 55416-4758