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DR. HOLLY H CLAUSEN PHD, LP
Neurology >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1417914318
Individual Registrant:DR. HOLLY H CLAUSEN PHD, LP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
15 E MINNESOTA ST STE 105 SAINT JOSEPH, MN 56374-4691 US
Tel: 320-363-8055 Fax: 320-363-8056
Tel: 320-363-8055 Fax: 320-363-8056
Contact information for business:
15 E MINNESOTA ST STE 105 SAINT JOSEPH, MN 56374-4691 US
Tel: 320-363-8055 Fax: 320-363-8056
Tel: 320-363-8055 Fax: 320-363-8056
Registration Information:
NPI: 1417914318
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2084N0400X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Neurology | MN | LP3529 |
| Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | MN | LP3529 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PREFERRED ONE | 1015083 | MN | 01 |
| UCARE | 169452 | MN | 01 |
| MEDICA | 6149957 | MN | 01 |
| 108014800 | MN | 05 | |
| BLUE CROSS | 2028501 | MN | 01 |
| BLUES | 268J1CL | MN | 01 |
