Organization · Type 2 NPI

Project Fresh Start Inc.

Clinical Psychologist · Minneapolis, MN

NPI number 1427586296 Active

Practice location

2854 Columbus Ave
Minneapolis, MN 55407-1324

Mailing address

PO Box 7367
Minneapolis, MN 55407-0367

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP4593 (MN)
Social Worker 104100000X23792 (MN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1427586296

Project Fresh Start Inc.'s National Provider Identifier is 1427586296, issued on May 24, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Minneapolis, MN. The record was last updated on May 24, 2017.