DR. Kurt Robert Illig, PHD, LP

NPI #1003656760 in Eagan, Minnesota

Provider Information

NPI Number
1003656760
Entity Type
Individual
Name
DR. Kurt Robert Illig, PHD, LP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PHD, LP
Enumeration Date
May 30, 2024
Last Updated
Jun 6, 2024

Practice Location

Address
3795 PILOT KNOB RD
City
Eagan
ZIP Code
55122-3176
Phone
(952) 595-5652

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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