Individual provider · Type 1 NPI

Crystal Shores, PSYD, LP

Psychologist · Chaska, MN

NPI number 1023401452 Active

Practice location

602 E 4th St
Chaska, MN 55318-2102

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP5721 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1023401452

Crystal Shores, PSYD, LP's National Provider Identifier is 1023401452, issued on Mar 10, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Chaska, MN. The record was last updated on Mar 10, 2015.