Provider Demographics
NPI:1215127899
Name:KAUR, MAHINDER (PSYD,)
Entity type:Individual
Prefix:DR
First Name:MAHINDER
Middle Name:
Last Name:KAUR
Suffix:
Gender:
Credentials:PSYD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 SUMMIT AVE
Mailing Address - Street 2:SUITE 406
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-4680
Mailing Address - Country:US
Mailing Address - Phone:612-234-1786
Mailing Address - Fax:317-245-7393
Practice Address - Street 1:420 SUMMIT AVE STE 406
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-4680
Practice Address - Country:US
Practice Address - Phone:612-234-1786
Practice Address - Fax:612-444-7492
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP4820103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical