National Provider Identifier Database

DENISE R GUDVANGEN, LP – NPI #1508835141
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

DENISE R GUDVANGEN, LP
603 BRUCE ST
CROOKSTON, MN56716
Phone: 218-281-3940
Fax: 218-281-6261
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for DENISE R GUDVANGEN

NPI Number 1508835141
Credentials LP
Entity Individual
Enumeration date 03/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 3957
  • Other: HP28754 HEALTH PARTNERS
  • MN Other: 41B43JA BCBS OF MN
  • MN Other: 123671 UCARE MINNESOTA
Hospital affiliation n/a

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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