Individual provider · Type 1 NPI

Linda Kamstra Gordon, M.A., L.P., L.A.D.C.

Psychologist · Eagan, MN

NPI number 1679555122 Active

Practice location

4651 Nicols Rd, Suite 102A
Eagan, MN 55122-3336

Fax (651) 688-3583

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP3677 (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 1679555122

Linda Kamstra Gordon, M.A., L.P., L.A.D.C.'s National Provider Identifier is 1679555122, issued on Nov 18, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Eagan, MN. The record was last updated on Jul 8, 2007.