Individual provider · Type 1 NPI

Kenneth Gerard Fogal, MS VP

Psychologist · Crosby, MN

NPI number 1104800960 Active

Practice location

318 E Main St, Central Lakes Medical Clinic ,pa
Crosby, MN 56441-1691

Fax (218) 546-4400

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP0270 (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…

6 other providers at this address

About NPI 1104800960

Kenneth Gerard Fogal, MS VP's National Provider Identifier is 1104800960, issued on Dec 5, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Crosby, MN. The record was last updated on Jul 13, 2026.