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CATHY LIANE
>> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1063435543
Individual Registrant: CATHY LIANE
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2835 92ND ST SW PEQUOT LAKES, MN 56472-2009 US
Tel: 218-746-4296 Fax: --
Tel: 218-746-4296 Fax: --
Contact information for business:
PO BOX 68 NISSWA, MN 56468-0068 US
Tel: 218-746-4296 Fax: --
Tel: 218-746-4296 Fax: --
Registration Information:
NPI: 1063435543
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103T00000X | Behavioral Health & Social Service Providers Psychologist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| UBH MEDICA | 6201430 | MN | 01 |
| BHP | 111780 | MN | 01 |
| UCARE | 111780 | MN | 01 |
| HEALTH PARTNERS | 103209 | MN | 01 |
| BCBS | 8H059LI | MN | 01 |
| ARAZ | 801312 | MN | 01 |
