Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kathleen Michelle Petersen, PHD

Individual provider School Psychologist · NPI 1609510858

Dr. Kathleen Michelle Petersen, PHD is a School Psychologist in Excelsior, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

202 Water St Ste 208
Excelsior, MN 55331-1887
Phone: (612) 615-3575
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 5567 (MN)

Record details

NPI number1609510858
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 25, 2022
Last updated in NPPESApril 25, 2022
Certification dateFebruary 16, 2022

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