DR. LARAINE PATRICIA KURISKO (NPI# 1104911676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104911676 |
Entity Type | Individual |
Full Name | DR. LARAINE PATRICIA KURISKO |
Credential | PH.D., LP |
Practice Address |
4005 West 65th Street Suite 104 Edina MN 55435 |
Mailing Address |
18664 Overland Trail Eden Prairie MN 55347-4186 |
Practice Telephone | 9529262424 |
Practice Fax Number | 9529263454 |
Mailing Telephone | 9529743764 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP4466 | MN | Behavioral Health & Social Service Providers |
Street Address |
4005 WEST 65TH STREET SUITE 104 |
City | EDINA |
State | MN |
Zip Code | 55435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
Find all providers in zip 55435 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
1073175592 | Skyler G. Shollenbarger | Psychologist | 7301 Ohms Ln Ste 450, Edina, MN 55439-2339 | 2019-07-04 |
1457748477 | Dr. Ellen Chazdon, Psy.d., L.p., LLC | Psychologist | 5200 Willson Rd Ste 490, Edina, MN 55424-1398 | 2015-04-16 |
1013306323 | Stephanie Peters | Psychologist | 5200 Willson Rd Ste 215, Edina, MN 55424-1316 | 2015-01-12 |
1154566057 | Stephen Plasch | Psychologist | 7400 Metro Blvd Ste 205, Edina, MN 55439-2316 | 2008-12-05 |
1497880009 | Gordon A Braatz | Psychologist | 6566 France Ave S, Ph1, Edina, MN 55435-1723 | 2007-02-22 |
1124164553 | John Nolen O'neil | Psychologist | 7101 York Ave S Ste 301, Edina, MN 55435-4469 | 2007-01-30 |
1790841773 | Meridee Rilen | Psychologist | 7401 Metro Blvd Ste 525, Edina, MN 55439-3059 | 2006-12-28 |
1689732851 | Ronald Joseph Wutchiett | Psychologist | 6950 France Ave. So., Suite 103, Edina, MN 55434 | 2006-12-04 |
1972608966 | Patty Ann Griffith | Psychologist | 5201 W 56th St, Edina, MN 55436-2446 | 2006-09-14 |
Find all providers in EDINA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.