Provider Demographics
NPI:1851889810
Name:MULLER, KATHRYN ASCHLIMAN (MA)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ASCHLIMAN
Last Name:MULLER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2724 COLORADO AVE S
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1825
Mailing Address - Country:US
Mailing Address - Phone:414-530-0884
Mailing Address - Fax:
Practice Address - Street 1:2073 W WAYZATA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LONG LAKE
Practice Address - State:MN
Practice Address - Zip Code:55356-4520
Practice Address - Country:US
Practice Address - Phone:612-361-7793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-25
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1904101YP2500X
CO0013974101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional