Organization · Type 2 NPI

Midwest Clinical Psychologist

Clinical Psychologist · Shoreview, MN

NPI number 1558338673 Active

Practice location

5760 Royal Oaks Dr
Shoreview, MN 55126-8490

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Clinical Psychologist Primary 103TC0700XNone listed

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 1558338673

Midwest Clinical Psychologist's National Provider Identifier is 1558338673, issued on Mar 7, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Shoreview, MN. The record was last updated on Sep 11, 2025.