DR. JOHN ARMEN DESTEIAN JD DPSY NPI 1174532279

NPI Information

NPI: 1174532279
Provider Name: DR. JOHN ARMEN DESTEIAN, JD, DPSY
Classification: Psychologist - 103TF0000X
Entity Type: Individual

Specialization: Family

Address:
950 SAINT CLAIR AVE
SAINT PAUL, MN
ZIP 55105
Phone: (651) 293-1684
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DR. John Armen Desteian, JD, DPSY is a family psychologist in Saint Paul, MN. The provider is a psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. DR. John Armen Desteian, JD, DPSY NPI is 1174532279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

950 SAINT CLAIR AVE
SAINT PAUL, MN
ZIP 55105-214
Phone: (651) 293-1684
Fax: (651) 293-1562

The enumeration date for this NPI number is 8/7/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TF0000X	Psychologist	Family	LP0485	MINNESOTA	Yes
2	103TP0814X	Psychologist	Psychoanalysis	LP0485	MINNESOTA	X
3	103T00000X	Psychologist		LP0485	MINNESOTA	X
4	103TP2701X	Psychologist	Group Psychotherapy	LP0485	MINNESOTA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	24123DE	OTHER	MINNESOTA	BLUECROSS&BLUE SHIELD

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

NPI Synchronization or Removal

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