Ken Wadum, Ed.d. LP

NPI #1043561335 in Rochester, Minnesota

Provider Information

NPI Number: 1043561335
Entity Type: Organization
Organization Name: Ken Wadum, Ed.d. LP
Subpart: Yes (part of a larger organization)
Parent Organization: KEN WADUM, ED.D., LP
Primary Specialty: Psychologist
Enumeration Date: Sep 26, 2012
Last Updated: Sep 26, 2012

Practice Location

Address: 1530 GREENVIEW DR SW
Address 2: SUITE 207
City: Rochester
State: Minnesota
ZIP Code: 55902-4286
Phone: (507) 280-0225

Authorized Official

Name: DR. KENNETH CHARLES WADUM, ED.D.
Title: OWNER
Phone: (507) 280-0225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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