NPI 1871581017

Kathleen Marie Wise, MALP

Practitioner Psychologist New Hope, MN

Practice location

Address: 7600 Bass Lake Rd Suite 106, New Hope, MN 55428-3860
Phone: (612) 865-9143
Mailing address: 205 Lily Pond Cir, Loretto, MN 55357-9654

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence LP3227 (MN)

Other Psychologist providers in Minnesota →

Registry record

NPI: 1871581017
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2005
Record last updated: 16 Jul 2010

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.