Individual provider · Type 1 NPI

Marci Marie Mueller Theisen, PSYD, CPRP, LP

Clinical Psychologist · Maple Grove, MN

NPI number 1578697173 Active

Practice location

11280 86th Ave N
Maple Grove, MN 55369-4510

Fax (763) 400-7444

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	LP4697 (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 1578697173

Marci Marie Mueller Theisen, PSYD, CPRP, LP's National Provider Identifier is 1578697173, issued on Mar 15, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Maple Grove, MN. The record was last updated on May 23, 2014.