Individual provider · Type 1 NPI

Robert Cornell Van Siclen, PhD

Clinical Psychologist · Coon Rapids, MN

NPI number 1871674978 Active

Practice location

277 Coon Rapids Blvd NW, Suite 308
Coon Rapids, MN 55433-5843

Fax (763) 717-4954

Mailing address

277 Coon Rapids Boulevard, Suite 308
Coon Rapids, MN 55433-5843

Specialties and licenses

TaxonomyCodeLicense
Cognitive & Behavioral Psychologist 103TB0200XLP2775 (MN)
Clinical Psychologist Primary 103TC0700XLP2775 (MN)
Clinical Child & Adolescent Psychologist 103TC2200XLP2775 (MN)
Psychologist 103T00000XLP2775 (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 1871674978

Robert Cornell Van Siclen, PhD's National Provider Identifier is 1871674978, issued on Oct 17, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Coon Rapids, MN. The record was last updated on Sep 11, 2025.