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Contact Information

LARAINE P KURISKO, PH.D., LP
4005 WEST 65TH STREET
SUITE 104
EDINA, MN55435
 Phone: 952-926-2424
 Fax: 952-926-3454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LARAINE P KURISKO · (Female)

NPI # 1104911676
Status Active
Credentials PH.D., LP
Entity Individual
Enumeration date 10/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # LP4466
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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