Provider Demographics
NPI:1396965505
Name:MINNEAPOLIS V.A. MEDICAL CENTER
Entity type:Organization
Organization Name:MINNEAPOLIS V.A. MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BARRS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:720-220-7618
Mailing Address - Street 1:33 WALBRIDGE ST
Mailing Address - Street 2:APARTMENT 14
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-4436
Mailing Address - Country:US
Mailing Address - Phone:720-220-7618
Mailing Address - Fax:
Practice Address - Street 1:MINNEAPOLIS V.A. MEDICAL CENTER
Practice Address - Street 2:ONE VETERANS DRIVE
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417
Practice Address - Country:US
Practice Address - Phone:612-725-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty