GLENACE ECKLUND EDWALL PH.D. PSY.D. NPI 1902796196

NPI Information

  • NPI: 1902796196
  • Provider Name: GLENACE ECKLUND EDWALL, PH.D., PSY.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 1801 AMERICAN BLVD E STE 1
    BLOOMINGTON, MN
    ZIP 55425
  • Phone: (612) 767-7222

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NPI Details

Glenace Ecklund Edwall, PH.D., PSY.D. is a clinical psychologist in Bloomington, 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. Glenace Ecklund Edwall, PH.D., PSY.D. NPI is 1902796196. The provider is registered as an individual entity type.

The provider's business location address is:

1801 AMERICAN BLVD E STE 1
BLOOMINGTON, MN
ZIP 55425-230
Phone: (612) 767-7222

The enumeration date for this NPI number is 7/8/2025 and was last updated on 7/8/2025.

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
1103TC0700XPsychologistClinical2339MINNESOTAYes

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: 11/21/2025

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