Provider Demographics
NPI:1932465085
Name:OSLER, KATHRYN LYNDSEY RIKARD (LMFT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LYNDSEY RIKARD
Last Name:OSLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8058 LONG MEADOW PT
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-1043
Mailing Address - Country:US
Mailing Address - Phone:704-654-5289
Mailing Address - Fax:
Practice Address - Street 1:4801 NICOLLET AVE STE 1/2
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-5584
Practice Address - Country:US
Practice Address - Phone:952-658-9099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3957101YM0800X
NC1516101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health