NPI 1174788947

Mary Lynn Kittelson, LPJUNGIANANALYST

Practitioner Psychologist Roseville, MN

Practice location

Address: 1711 County Road B W Suite 205-S, Roseville, MN 55113-4057
Phone: (651) 276-0305
Mailing address: 1975 Prior Ave N, Saint Paul, MN 55113-5406

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 2078 (MN)

Other Psychologist providers in Minnesota →

Psychoanalyst

Behavioral Health & Social Service Providers Taxonomy 102L00000X

Other Psychoanalyst providers in Minnesota →

Registry record

NPI: 1174788947
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2008
Record last updated: 22 Jul 2008

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.