Individual provider · Type 1 NPI

Jackie Engebretson, PhD, LP

Psychologist · Bloomington, MN

NPI number 1134598667 Active

Practice location

7920 Old Cedar Ave S
Bloomington, MN 55425-1207

Call (952) 428-1800 Map

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Other practice locations

  • 3850 Park Nicollet Blvd, St. Louis Park, MN 55416-2527 · (952) 993-1000

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200XLP5917 (MN)
Psychologist Primary 103T00000XLP5917 (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 1134598667

Jackie Engebretson, PhD, LP's National Provider Identifier is 1134598667, issued on Sep 15, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Bloomington, MN. The record was last updated on Aug 12, 2022.