| Kenneth L Stapleton, LP | |
|
423 Ne 4th St Ste 2, Grand Rapids, MN 55744-2968 | |
| (218) 326-5694 | |
| (218) 326-5313 |
| Full Name | Kenneth L Stapleton |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 423 Ne 4th St Ste 2, Grand Rapids, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598742140 | NPI | - | NPPES |
| 796713600 | Medicaid | MN | |
| 1104205319 | Other | MN | NPI2 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP3021 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth L Stapleton, LP Po Box 771, Grand Rapids, MN 55744-0771 Ph: (218) 326-5694 | Kenneth L Stapleton, LP 423 Ne 4th St Ste 2, Grand Rapids, MN 55744-2968 Ph: (218) 326-5694 |
Cathleen Bengtson, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 Se 2nd Ave, Grand Rapids, MN 55744 Phone: 218-326-1274 | |
Avrielle Jewel Schneider, LADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1215 Se 7th Ave, Grand Rapids, MN 55744 Phone: 218-327-1105 Fax: 218-327-1932 | |
Dr. William Walter Larsen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 525 Itasca St, Grand Rapids, MN 55744 Phone: 218-327-2295 Fax: 218-327-2295 | |
Patricia Cortese, LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Highway 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848 | |
Dr. Justin Gambill, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Highway 2, Grand Rapids, MN 55744 Phone: 218-327-4886 | |
Carolyn Grieve, LPMED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2618 Emerald Dr, Grand Rapids, MN 55744 Phone: 218-327-9013 Fax: 218-327-9013 | |
Donald Farnsworth, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 Se 2nd Ave, Grand Rapids, MN 55744 Phone: 218-327-1274 |