Organization · Type 2 NPI

Portage Psychology PA

Psychologist · Eden Prairie, MN

NPI number 1245975010 Active

Practice location

10125 Crosstown Cir Ste 110
Eden Prairie, MN 55344-3316

Fax (612) 500-4607

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

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 1245975010

Portage Psychology PA's National Provider Identifier is 1245975010, issued on May 4, 2022. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Eden Prairie, MN. The record was last updated on May 4, 2022.