Female

Ms. Elizabeth Wallen LP

Clinical Psychologist in Mankato, MN(View on Map)

Full Name

Ms. Elizabeth Wallen LP

NPI Number

1821049917

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/13/2006

Specialties

(Taxonomies)

Code

103TC0700X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

LP2168

Contact
Information

Purpose

Mailing
Location

Address

125 VICTORIA BLVD
600 REED ST

City

Mankato
Mankato

State

MN
MN

Postal Code

56001-7100
56001-6410

Country

US
US

Telephone Number

N/A
(507) 625-4060

Identifiers

Identifier

120012
026L7WA
6273529
HP38262

Identifier State

MN
MN
MN
FM

Identifier Issuer

UCARE MINNESOTA
BXBS
UNITED
HEALTH PARTNERS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address

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