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SUBURBAN NORTH PSYCHOLOGICAL SERVICES P.A. NPI 1972727105


NPI Information

NPI: 1972727105
Provider Name: SUBURBAN NORTH PSYCHOLOGICAL SERVICES, P.A.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1313 5TH ST SE
MAILBOX 45, SUITE 114 B
MINNEAPOLIS, MN
ZIP 55414
Phone: (612) 819-7485
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SUBURBAN NORTH PSYCHOLOGICAL SERVICES, P.A. is a clinical psychologist in Minneapolis, MN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. SUBURBAN NORTH PSYCHOLOGICAL SERVICES, P.A. NPI is 1972727105. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1313 5TH ST SE
MAILBOX 45, SUITE 114 B
MINNEAPOLIS, MN
ZIP 55414-504
Phone: (612) 819-7485
Fax: (612) 379-3183

The provider's authorized official is Ferde William Fritsche .
The authorized official title is Licensed Psychologist and has the following contact phone number (651) 647-1653.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalLP 2514MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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