| Molly Kathryn Kolquist-kucza, PSYD, LP | |
|
530 E 2nd St Bldg E, Duluth, MN 55805-1913 | |
| (218) 786-8364 | |
| Not Available |
| Full Name | Molly Kathryn Kolquist-kucza |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 530 E 2nd St Bldg E, Duluth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649943366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP6837 (Minnesota) | Primary |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Smdc Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235488438 PECOS PAC ID: 5890604011 Enrollment ID: O20180719001604 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Kathryn Kolquist-kucza, PSYD, LP 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Molly Kathryn Kolquist-kucza, PSYD, LP 530 E 2nd St Bldg E, Duluth, MN 55805-1913 Ph: (218) 786-8364 |
Ms. Kelly Jean Ravenfeather, MS ED, LP, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 230 E Superior St Ste 101, Duluth, MN 55802 Phone: 218-726-5433 Fax: 218-279-2844 | |
Mya Camryn Taylor, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 432 N 11th Ave E, Duluth, MN 55805 Phone: 763-442-0726 | |
Mr. James F Gruba, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1401 E 1st St, Duluth, MN 55805 Phone: 218-728-4491 Fax: 218-728-4404 | |
Ruth Elaine Olson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 530 E 2nd St, Duluth, MN 55805 Phone: 218-786-5360 | |
Ms. Lisa Marie Fedora, M.A., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 11 E Superior St Ste 415, Duluth, MN 55802 Phone: 218-249-0595 Fax: 218-461-3666 | |
Dr. Tara Lynn Richter, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 205 W 2nd St Ste 120, Duluth, MN 55802 Phone: 218-481-7909 Fax: 218-481-7910 | |
Robin Joy Anderson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 502 E 2nd St, Duluth, MN 55805 Phone: 218-727-8762 |