EAGAN COUNSELING CLINIC is a clinical psychologist in Eagan, 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. EAGAN COUNSELING CLINIC NPI is 1144311184. The provider is registered as an organization entity type.
The provider's business location address is:
3450 OLEARY LN EAGAN, MN ZIP 55123-340 Phone: (651) 454-0114 Fax: (651) 454-3492
The provider's authorized official is Peggy Dominic . The authorized official title is Chief Financial Officer and has the following contact phone number (651) 365-8217.
The enumeration date for this NPI number is 9/27/2006 and was last updated on 4/10/2008.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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: 11/21/2025
NPI Synchronization or Removal
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