Individual provider · Type 1 NPI

James Jenkins Theisen, PhD, LP

Clinical Psychologist · Minneapolis, MN

NPI number 1689673857 Active

Practice location

6 E Diamond Lake Rd
Minneapolis, MN 55419-1923

Mailing address

4206 5th Ave S
Minneapolis, MN 55409-2120

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP3639 (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 1689673857

James Jenkins Theisen, PhD, LP's National Provider Identifier is 1689673857, issued on Jul 19, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 1, 2023.