DR. JUDY TIESEL PH.D NPI 1467664359

NPI Information

NPI: 1467664359
Provider Name: DR. JUDY TIESEL, PH.D
Classification: Psychologist - 103TF0000X
Entity Type: Individual

Specialization: Family

Address:
7400 METRO BLVD
SUITE 413
EDINA, MN
ZIP 55439
Phone: (952) 835-6950
Get Directions

DR. Judy Tiesel, PH.D is a family psychologist in Edina, 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. Judy Tiesel, PH.D NPI is 1467664359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7400 METRO BLVD
SUITE 413
EDINA, MN
ZIP 55439-316
Phone: (952) 835-6950
Fax: (952) 835-0072

The enumeration date for this NPI number is 5/4/2007 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	3280	MINNESOTA	Yes
2	106H00000X	Marriage & Family Therapist		870	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	6299691	MEDICAID	MINNESOTA
2	8H911T1	OTHER	MINNESOTA	BLUE CROSS-BLUESHIELD

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: 11/14/2023

NPI Synchronization or Removal

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