Most Relevant Information
Provider Data
| NPI Number: | 1003000894 |
| Provider Name: | SHANNON MARIE KEHLE PH.D., L.P. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | LP5123 |
Most Important Dates
| Enumeration Date: | 09/05/2007 |
| Last Updated: | 08/17/2009 |
Provider Practice Location
1 VETERANS DR
MINNEAPOLIS
MN
554172309
Practice Location Phone/Fax
| Phone: | 6124671564 |
| Fax: |
Provider Mailing Location
1 VETERANS DR
MINNEAPOLIS
MN
554172309
Provider Mailing Phone/Fax
| Phone: | 6124671564 |
| Fax: |