NPI 1043561335

Ken Wadum, Ed.D. LP

Organisation Psychologist Rochester, MN

Practice location

Address: 1530 Greenview Dr SW Suite 207, Rochester, MN 55902-4286
Phone: (507) 280-0225

Authorised official

Name: Kenneth Charles Wadum
Title: Owner
Phone: (507) 280-0225

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence LP2777 (MN)

Other Psychologist providers in Minnesota →

Registry record

NPI: 1043561335
Entity type: Organization
NPI issued: 26 Sep 2012
Record last updated: 26 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.