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Contact Information

KERRY L VAN DUSEN, PSYD LP
324 W SUPERIOR ST
SUITE 400
DULUTH, MN55802
 Phone: 218-740-3026
 Fax: 218-740-3030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KERRY L VAN DUSEN · (Female)

NPI # 1700919073
Status Active
Credentials PSYD LP
Entity Individual
Enumeration date 03/14/2007
Last updated 12/30/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LP4115
  • MN Medicaid 705222700
  • MN Other 174M6N0 BCBS
  • MN Other 174M7VA BCBS
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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