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Contact Information

JEANNE M KURTZ, PHD, LP
7115 FORTHUN ROAD
SUITE 105
BAXTER, MN56425
 Phone: 218-454-0090
 Fax: 218-454-0091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEANNE M KURTZ · (Female)

NPI Number 1760544423
Status Active
Credentials PHD, LP
Entity Individual
Enumeration date 12/15/2006
Last updated 05/26/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LP2689
  • MN Medicaid 4209552
  • MN Other LP2689 LICENSED PSYCHOLOGIST
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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