Individual provider · Type 1 NPI

Tim Richard Portinga, PSYD LP

Clinical Psychologist · Plymouth, MN

NPI number 1609924216 Active

Practice location

11505 36th Ave N
Plymouth, MN 55441-2304

Call (763) 509-3818 Map

Fax (763) 559-0149

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP4699 (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 1609924216

Tim Richard Portinga, PSYD LP's National Provider Identifier is 1609924216, issued on Jan 8, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Plymouth, MN. The record was last updated on Jul 8, 2007.