Individual provider · Type 1 NPI

Lana I. Boutacoff, PhD, LP

Psychologist · St. Paul, MN

NPI number 1437213469 Active

Practice location

570 Asbury St, Suite 104
St. Paul, MN 55104-1849

Call (651) 645-7318 Map

Fax (651) 645-0974

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP2623 (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…

16 other providers at this address

Other psychologist providers in St. Paul

See all in St. Paul →

About NPI 1437213469

Lana I. Boutacoff, PhD, LP's National Provider Identifier is 1437213469, issued on Dec 21, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.