Individual provider · Type 1 NPI

Talia Amo Jackson, PSYD, LP

Psychologist · Mpls, MN

NPI number 1730260902 Active

Practice location

2600 Wayzata Blvd N
Mpls, MN 55405-2123

Mailing address

2600 Wayzata Blvd
Minneapolis, MN 55405-2123

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP4738 (MN)
Clinical Psychologist 103TC0700XLP4738 (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 1730260902

Talia Amo Jackson, PSYD, LP's National Provider Identifier is 1730260902, issued on Oct 17, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Mpls, MN. The record was last updated on Feb 12, 2026.