Organization · Type 2 NPI
Pediatric & Family Psychology Center PA
Marriage & Family Therapist · North St. Paul, MN
Practice location
2440 N Charles Street, Suite 236
North St. Paul, MN 55109-3050
Fax (651) 771-4784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | LP2246 (MN) |
| Psychologist | 103T00000X | PY00000625 (WA) |
| Psychologist | 103T00000X | 440 (CO) |
| Marriage & Family Therapist Primary | 106H00000X | 1 (MN) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
About NPI 1104826510
Pediatric & Family Psychology Center PA's National Provider Identifier is 1104826510, issued on Jul 28, 2005. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in North St. Paul, MN. The record was last updated on Sep 11, 2025.