Kathleen J Lietzau (NPI# 1730164567, PAC ID# 8527068956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED CLINICAL NURSE SPECIALIST (CNS).
| Nation Provider ID (NPI) | 1730164567 |
| PAC ID by PECOS | 8527068956 |
| Professional Enrollment ID | I20070108000408 |
| Full Name | Kathleen J Lietzau |
| Organization Legal Name | ASSOCIATED CLINIC OF PSYCHOLOGY INC |
| Address |
6950 146th St W Suite 100 Apple Valley MN 55124-8520 |
| Phone Number | 9524321484 |
| Gender | F |
| Credential | CNS |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1994 |
| Primary Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| Group Practice PAC ID | 0749171320 |
| Number of Group Practice Members | 97 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6950 146th St W, Suite 100, Apple Valley, MN 55124-8520 | 9524321484 | ASSOCIATED CLINIC OF PSYCHOLOGY INC |
| Organization Legal Name | ASSOCIATED CLINIC OF PSYCHOLOGY INC |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia M Newman | Clinical Social Worker | Associated Clinic of Psychology Inc | 149 Thompson Ave E, Suite 150, West St Paul, MN 55118-3238 |
| Sandra L Forest | Clinical Social Worker | Associated Clinic of Psychology Inc | 4027 County Rd, Suite 25, St Louis Park, MN 55416-4119 |
| Deborah L Anderson | Clinical Psychologist | Associated Clinic of Psychology Inc | 1155 Ford Rd B, St Louis Park, MN 55426-1115 |
| Devon Elizabeth Whitehead | Psychologist, Clinical | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Ellen B Hartnett | Clinical Social Worker | Associated Clinic of Psychology Inc | 450 Syndicate St N, Suite 385, Saint Paul, MN 55104-4219 |
| Tobin R Delgiudice | Psychologist, Clinical | Associated Clinic of Psychology Inc | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4597 |
| Kimberly J Oftedahl-brooks | Clinical Social Worker | Associated Clinic of Psychology Inc | 6200 Shingle Creek Pkwy, Suite 350, Brooklyn Center, MN 55430-2155 |
| Brownell E Mack Iii | Psychologist, Clinical | Associated Clinic of Psychology Inc | 4240 Park Glen Rd, St Louis Park, MN 55416-4758 |
| Haley N Carlock | Nurse Practitioner | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Natalie A Rosen | Certified Clinical Nurse Specialist (cns) | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Street Address |
6950 146TH ST W SUITE 100 |
| City | APPLE VALLEY |
| State | MN |
| Zip | 55124-8520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nkeiruka Sylvia Anyiam | Nurse Practitioner | Minuteclinic Diagnostic Pa | 3633 Bunker Lake Blvd Nw, Andover, MN 55124 |
| Anthony M Felten | Chiropractic | 15322 Galaxie Ave, Suite 110, Apple Valley, MN 55124-3149 | |
| Sarah Robinson-hudson | Clinical Psychologist | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 140, Apple Valley, MN 55124-4509 |
| Promise C Amajiri | Nurse Practitioner | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Jill R Toliver | Nurse Practitioner | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Steven H Lutzwick | Psychiatry | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Steven C Severson | Clinical Social Worker | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Robert L Peterson | Psychologist, Clinical | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Samantha A Huguelet | Certified Clinical Nurse Specialist (cns) | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Hilary A Winkelmann | Nurse Practitioner | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Find all physicians in zip 55124 | |||
| City | APPLE VALLEY |
| Zip Code | 55124 |
| Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| City + Specialty | APPLE VALLEY + CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
Please comment or provide details below to improve the information on Kathleen J Lietzau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.