Kenneth B Little, MA - Psychologist in Roseville, MN

Kenneth B Little, MA is a Psychologist based in Roseville, Minnesota. Kenneth B Little is licensed to practice in Minnesota (license number LP0568) and his current practice location is 1935 County Road B2 W Ste 120, Roseville, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 964-0235.

NPI number for Kenneth B Little is 1104869528 and his current mailing address is 5505 Interlachen Blvd, Edina, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104869528.

Contact Information

Kenneth B Little, MA
1935 County Road B2 W Ste 120,
Roseville, MN 55113-2722
(651) 964-0235
(651) 340-5652



Healthcare Provider's Profile

Full NameKenneth B Little
GenderMale
SpecialityPsychologist
Location1935 County Road B2 W Ste 120, Roseville, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104869528
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 08/19/2019

Medical Identifiers

Medical identifiers for Kenneth B Little such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104869528NPI-NPPES
1032815OtherMNPREFERREDONE
229D0LIOtherMNBLUE SHIELD OF MINNESOTA
143646OtherMNUCARE MINNESOTA
HP50066OtherMNHEALTHPARTNERS
62-47135OtherMNUNITED BEHAVIORAL HEALTH
976847500MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LP0568 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth B Little is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth B Little, MA
5505 Interlachen Blvd,
Edina, MN 55436-1322

Ph: (952) 300-7074
Kenneth B Little, MA
1935 County Road B2 W Ste 120,
Roseville, MN 55113-2722

Ph: (651) 964-0235

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› Verified 8 days ago


Psychologist in Roseville, MN

Linda June Johnson, L.P.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 2780 Snelling Ave N Ste 104, Roseville, MN 55113
Phone: 651-633-5290    Fax: 651-633-5238
Dr. Gail Hegeman, PH D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1711 County Road B West, Suite 144s, Roseville, MN 55113
Phone: 651-635-0909    Fax: 612-822-8669
Kevin M Harrington, PHD LP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113
Phone: 651-241-5290    Fax: 651-241-5248
Mr. Steven Roger Wiese, L.P.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2780 Snelling Ave N Ste 104, Roseville, MN 55113
Phone: 651-633-5290    Fax: 651-633-5238
Dr. Layla Asamarai, PSYD.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1611 County Road B W Ste 218, Roseville, MN 55113
Phone: 612-877-0777    Fax: 651-358-2996
Pamela Johnson, MA, LMFT, LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1751 County Road B W Ste 100, Roseville, MN 55113
Phone: 612-719-5636    

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