Individual provider · Type 1 NPI

Iris Song, PSY.D., L.P.

Clinical Psychologist · Maple Grove, MN

NPI number 1790180503 Active

Practice location

7979 Ranchview Ln N
Maple Grove, MN 55311-2106

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP5547 (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 1790180503

Iris Song, PSY.D., L.P.'s National Provider Identifier is 1790180503, issued on Oct 23, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Maple Grove, MN. The record was last updated on Oct 23, 2014.