Kathleen Marie Kavanaugh, MA

NPI #1154812238 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1154812238
Entity Type: Individual
Name: Kathleen Marie Kavanaugh, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: MA
Enumeration Date: May 23, 2018
Last Updated: May 23, 2018

Practice Location

Address: 9531 W 78TH ST STE 110
City: Eden Prairie
State: Minnesota
ZIP Code: 55344-8022
Phone: (952) 893-9791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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