DR. LARAINE PATRICIA KURISKO


Address: 4005 West 65th Street, Suite 104, Edina, MN 55435
Phone: 9529262424

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP4466 MN Behavioral Health & Social Service Providers

Office Location

Street Address 4005 WEST 65TH STREET
SUITE 104
City EDINA
State MN
Zip Code 55435

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1104433416 Evy Christine Claussen Social Worker 6363 France Ave. S., Edina, MN 55435 2020-09-30
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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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City EDINA
Zip Code 55435

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Dataset Information

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.

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