MS. DEBORAH JEAN CLEMMENSEN M.EQ. NPI 1992711154

NPI Information

  • NPI: 1992711154
  • Provider Name: MS. DEBORAH JEAN CLEMMENSEN, M.EQ.
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • Address: 10520 WAYZATA BLVD
    WOODSIDE OFFICE PARK
    MINNETONKA, MN
    ZIP 55305
  • Phone: (952) 767-0190

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NPI Details

MS. Deborah Jean Clemmensen, M.EQ. is a clinical child and adolescent psychologist in Minnetonka, MN. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. MS. Deborah Jean Clemmensen, M.EQ. NPI is 1992711154. 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:

10520 WAYZATA BLVD
WOODSIDE OFFICE PARK
MINNETONKA, MN
ZIP 55305-511
Phone: (952) 767-0190
Fax: (952) 544-3401

The enumeration date for this NPI number is 7/31/2006 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
1103TC2200XPsychologistClinical Child & AdolescentLP2635MINNESOTAYes

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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