Individual provider · Type 1 NPI

Kelly Wicks, PSY.D., LP

Clinical Psychologist · Minneapolis, MN

NPI number 1689071862 Active

Practice location

1100 Glenwood Ave
Minneapolis, MN 55405-1430

Fax (612) 871-1505

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP5806 (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 1689071862

Kelly Wicks, PSY.D., LP's National Provider Identifier is 1689071862, issued on Dec 3, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 13, 2016.