Individual provider · Type 1 NPI

Michael S. Butchko, PhD

Psychologist · St. Paul, MN

NPI number 1386166353 Active

Practice location

2265 Como Ave
St. Paul, MN 55108-1737

Call (651) 645-5323 Map

Mailing address

11145 Baltimore St NE Unit G
Blaine, MN 55449-4879

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Psychologist Primary 103T00000X6315 (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 1386166353

Michael S. Butchko, PhD's National Provider Identifier is 1386166353, issued on Jul 12, 2017. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Paul, MN. The record was last updated on Dec 28, 2018.