Individual provider · Type 1 NPI

Jesse Lyn Moonen, PSYD

Psychologist · St. Louis Park, MN

NPI number 1306500939 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Call (952) 993-3123 Map

Fax (952) 993-3286

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 800 E 28th St Fl 6, Minneapolis, MN 55407-3723 · (612) 863-4000

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Psychologist Primary 103T00000XLP6762 (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 1306500939

Jesse Lyn Moonen, PSYD's National Provider Identifier is 1306500939, issued on Oct 29, 2021. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jan 20, 2023.