Individual provider · Type 1 NPI

Glenace Ecklund Edwall, PhD, PSY.D.

Clinical Psychologist · Bloomington, MN

NPI number 1902796196 Active

Practice location

1801 American Blvd E Ste 1
Bloomington, MN 55425-1230

Call (612) 767-7222 Map

Mailing address

2217 Ferris Ln
Roseville, MN 55113-3877

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X2339 (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 1902796196

Glenace Ecklund Edwall, PhD, PSY.D.'s National Provider Identifier is 1902796196, issued on Jul 8, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Bloomington, MN. The record was last updated on Jul 8, 2025.