Individual provider · Type 1 NPI

Samantha Marie Sorensen, PSY.D., LP

Psychologist · St. Louis Park, MN

NPI number 1750625166 Active

Practice location

4601 Excelsior Blvd Ste 411
St. Louis Park, MN 55416-4977

Fax (763) 614-5060

Mailing address

12331 Marmon St NE
Blaine, MN 55449-6280

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP5556 (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 1750625166

Samantha Marie Sorensen, PSY.D., LP's National Provider Identifier is 1750625166, issued on Nov 26, 2012. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Sep 27, 2021.