Individual provider · Type 1 NPI

Sally Keckeisen

Psychologist · St. Louis Park, MN

NPI number 1700566940 Active

Practice location

6600 Excelsior Blvd
St. Louis Park, MN 55426-4744

Call (952) 993-7700 Map

Mailing address

8170 33rd Ave S
Bloomington, MN 55425-4516

Other practice locations

  • 4815 N Assembly St, Spokane, WA 99205-6185 · (509) 434-7000

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP7268 (MN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1700566940

Sally Keckeisen's National Provider Identifier is 1700566940, issued on Jul 21, 2023. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 3, 2025.