Individual provider · Type 1 NPI

Steven Roger Wiese, L.P.

Psychologist · Roseville, MN

NPI number 1194941682 Active

Practice location

2780 Snelling Ave N Ste 104
Roseville, MN 55113-7115

Fax (651) 633-5238

Mailing address

21211 Imperial Ave N
Forest Lake, MN 55025-9547

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP1426 (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 1194941682

Steven Roger Wiese, L.P.'s National Provider Identifier is 1194941682, issued on Apr 17, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Roseville, MN. The record was last updated on Jul 8, 2007.