Individual provider · Type 1 NPI
Thomas James Tieffenbacher, M.A., L.P.
Psychologist · Mankato, MN
Practice location
801 N. 2nd Street, Suite 102
Mankato, MN 56001-3373
Fax (507) 375-7405
Mailing address
417 11th St S
St. James, MN 56081-2158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | LP1176 (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 1114003092
Thomas James Tieffenbacher, M.A., L.P.'s National Provider Identifier is 1114003092, issued on Oct 31, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Mankato, MN. The record was last updated on Jul 8, 2007.