IndividualActive
Katherine Kegan, PHD
NPI 1649328014 · Adult Development & Aging Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1649328014
- Entity type
- Individual
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP0162 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
314 Clifton Ave
Suite 103
Minneapolis, MN 55403-3235
Phone: (612) 870-0980
Fax: (612) 872-3686
Approximate (ZIP-level) locationGet directions
Mailing address
314 Clifton Ave
Minneapolis, MN 55403-3235
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.