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MINNESOTA ORGANIZATION ON FETAL ALCOHOL SYNDROME (MOFAS) NPI 1699038265


NPI Information

NPI: 1699038265
Provider Name: MINNESOTA ORGANIZATION ON FETAL ALCOHOL SYNDROME (MOFAS)
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2233 UNIVERSITY AVE W STE 395
SAINT PAUL, MN
ZIP 55114
Phone: (651) 917-2370
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MINNESOTA ORGANIZATION ON FETAL ALCOHOL SYNDROME (MOFAS) is a clinical psychologist in Saint Paul, 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. MINNESOTA ORGANIZATION ON FETAL ALCOHOL SYNDROME (MOFAS) NPI is 1699038265. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2233 UNIVERSITY AVE W STE 395
SAINT PAUL, MN
ZIP 55114-600
Phone: (651) 917-2370
Fax: (651) 917-2405

The provider's authorized official is Sara Messelt .
The authorized official title is Executive Director and has the following contact phone number (651) 917-2370.

The enumeration date for this NPI number is 6/19/2012 and was last updated on 6/19/2012.


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
1103TC0700XPsychologistClinicalLP5419MINNESOTAYes

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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