Organization · Type 2 NPI
Portages Health LLC
Prescribing (Medical) Psychologist · Minneapolis, MN
Practice location
310 4th Ave S Ste 5010
Minneapolis, MN 55415-1053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | None listed |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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About NPI 1942945761
Portages Health LLC's National Provider Identifier is 1942945761, issued on May 5, 2022. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Minneapolis, MN. The record was last updated on May 5, 2022.