Individual provider · Type 1 NPI

Charlotte Anne Ryan, LICENSED PSYCHOLOGIS

Psychologist · Minneapolis, MN

NPI number 1376609495 Active

Practice location

3100 W Lake St, Suite 300
Minneapolis, MN 55416-4527

Call (612) 801-3571 Map

Fax (612) 929-9006

Mailing address

5019 Upton Ave S
Minneapolis, MN 55410-2244

Specialties and licenses

TaxonomyCodeLicense
Cognitive & Behavioral Psychologist 103TB0200XLP0096 (MN)
Clinical Psychologist 103TC0700XLP0096 (MN)
Intellectual & Developmental Disabilities Psychologist 103TM1800XLP0096 (MN)
Psychologist Primary 103T00000XLP0096 (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 1376609495

Charlotte Anne Ryan, LICENSED PSYCHOLOGIS's National Provider Identifier is 1376609495, issued on Jan 1, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 11, 2025.