Individual provider · Type 1 NPI

Tharaki Siyaguna

Clinical Psychologist · Moorhead, MN

NPI number 1821571159 Active

Practice location

1547 30th Ave S
Moorhead, MN 56560-5055

Call (218) 287-4338 Map

Fax (218) 287-5928

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Clinical Psychologist Primary 103TC0700XLP6711 (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 1821571159

Tharaki Siyaguna's National Provider Identifier is 1821571159, issued on Sep 12, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Moorhead, MN. The record was last updated on Oct 16, 2025.