Individual provider · Type 1 NPI

Ethan McCallum, PhD

Psychologist · Plymouth, MN

NPI number 1851703110 Active

Practice location

2855 Campus Dr Ste 400
Plymouth, MN 55441-2659

Call (763) 577-7400 Map

Fax (763) 236-2650

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone 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 1851703110

Ethan McCallum, PhD's National Provider Identifier is 1851703110, issued on May 21, 2014. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Plymouth, MN. The record was last updated on Nov 10, 2020.