Individual provider · Type 1 NPI
Kathleen Ann Samilo, MA, LP
Psychologist · St. Paul, MN
Practice location
1867 Saint Clair Ave
St. Paul, MN 55105-1642
Fax (763) 780-0784
Mailing address
1485 81st Ave NE
Spring Lake Park, MN 55432-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | LP 0249 (MN) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1376655761
Kathleen Ann Samilo, MA, LP's National Provider Identifier is 1376655761, issued on Aug 31, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.