Individual provider · Type 1 NPI

Stephanie Elizabeth Tack, PSYD, LP

Psychologist · St. Paul, MN

NPI number 1659097186 Active

Practice location

280 Smith Ave N Ste 450
St. Paul, MN 55102-2481

Call (651) 241-5959 Map

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Other practice locations

  • 333 Smith Ave N, St. Paul, MN 55102-2344 · (651) 241-8565

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP6859 (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…

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About NPI 1659097186

Stephanie Elizabeth Tack, PSYD, LP's National Provider Identifier is 1659097186, issued on Oct 17, 2022. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 30, 2024.