Individual provider · Type 1 NPI

Thyra Anne Fossum, PhD

Clinical Psychologist · St. Paul, MN

NPI number 1902133440 Active

Practice location

1595 Selby Ave, Suite 109
St. Paul, MN 55104-6221

Mailing address

1595 Snelling Avenue, Suite 109
St. Paul, MN 55104

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP4703 (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 1902133440

Thyra Anne Fossum, PhD's National Provider Identifier is 1902133440, issued on Nov 4, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in St. Paul, MN. The record was last updated on Jun 30, 2015.