Female

Dr. Kelsey E. Vaca PSYD LP

Psychologist in Woodbury, MN(View on Map)

Full Name

Dr. Kelsey Elyse Clemson Vaca PSYD LP

NPI Number

1447920301

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/14/2021

Specialties

(Taxonomies)

Code

103T00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2925 CHICAGO AVE
8675 VALLEY CREEK RD

City

Minneapolis
Woodbury

State

MN
MN

Postal Code

55407-1321
55125-2337

Country

US
US

Telephone Number

(612) 262-9000
(651) 241-3000

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

kvaca566375@excellian.direct.allina.com

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
CDA/PDF/TXT

Affiliation

N

Endpoint Location

8675 Valley Creek RdWoodbury, MN551252337US

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

Data last updated by provider on 10/28/2021

Provider Address

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