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

Individual provider Clinical Child & Adolescent Psychologist · NPI 1881006880

Dr. Kent Kodalen, PHD is a Clinical Child & Adolescent Psychologist in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2525 Chicago Ave Mail Stop 17-217
Minneapolis, MN 55404-4518
Phone: (612) 813-7042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 5742 (MN)

Record details

NPI number1881006880
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 24, 2014
Last updated in NPPESMay 24, 2014

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