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FAMILY THERAPY RESOURCES PA NPI 1912052952


NPI Information

NPI: 1912052952
Provider Name: FAMILY THERAPY RESOURCES PA
Classification: Psychologist - 103TF0000X
Entity Type: Organization

Specialization: Family

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

FAMILY THERAPY RESOURCES PA 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. FAMILY THERAPY RESOURCES PA NPI is 1912052952. The provider is registered as an organization entity type and is a multi-specialty group.

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 provider's authorized official is Judy Tiesel .
The authorized official title is President and has the following contact phone number (952) 835-6950.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 8/22/2020.


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
1103TF0000XPsychologistFamily3280MINNESOTAYes
2103T00000XPsychologist3280MINNESOTAX
31041C0700XSocial WorkerClinical2929MINNESOTAX
4106H00000XMarriage & Family Therapist870MINNESOTAX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18H297YAOTHERMINNESOTABCBS

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

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