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DR. KENNETH CHARLES WADUM ED.D. NPI 1225191976


NPI Information

NPI: 1225191976
Provider Name: DR. KENNETH CHARLES WADUM, ED.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
1700 N BROADWAY
SUITE 118
ROCHESTER, MN
ZIP 55906
Phone: (507) 280-0225
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DR. Kenneth Charles Wadum, ED.D. is a clinical psychologist in Rochester, MN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Kenneth Charles Wadum, ED.D. NPI is 1225191976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1700 N BROADWAY
SUITE 118
ROCHESTER, MN
ZIP 55906-144
Phone: (507) 280-0225
Fax: (507) 280-8780

The enumeration date for this NPI number is 12/17/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalLP2777MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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