Individual provider · Type 1 NPI

Walter O. Bockting, PhD

Clinical Psychologist · Minneapolis, MN

NPI number 1104901172 Active

Practice location

1300 S 2nd St, Suite 180
Minneapolis, MN 55454-1075

Call (612) 625-1500 Map

Mailing address

3989 Central Ave NE, Suite 300
Columbia Heights, MN 55421-3900

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XLP2505 (MN)
Clinical Psychologist 103TC0700XLP2505 (MN)
Clinical Psychologist Primary 103TC0700X020658 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1104901172

Walter O. Bockting, PhD's National Provider Identifier is 1104901172, issued on Oct 26, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 19, 2024.