Individual provider · Type 1 NPI

Laraine Patricia Kurisko, PhD, LP

Clinical Psychologist · Edina, MN

NPI number 1104911676 Active

Practice location

4005 West 65th Street, Suite 104
Edina, MN 55435

Fax (952) 926-3454

Mailing address

18664 Overland Trail
Eden Prairie, MN 55347-4186

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP4466 (MN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1104911676

Laraine Patricia Kurisko, PhD, LP's National Provider Identifier is 1104911676, issued on Oct 3, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Edina, MN. The record was last updated on Jul 8, 2007.