Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bourdeaux Psychological Services

Organization Clinical Psychologist · NPI 1689034910

Bourdeaux Psychological Services is a Clinical Psychologist in Stacy, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016

Practice location Address checks out

4425 311th St
Stacy, MN 55079-9299
Phone: (612) 326-0775
Fax: (161) 243-5411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP5690 (MN)

Record details

NPI number1689034910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monique Bourdeaux-Colburn — Licensed Psychologist · (612) 326-0775
NPI enumeratedFebruary 29, 2016
Last updated in NPPESFebruary 29, 2016
Mailing address4425 311th St, Stacy, MN 55079-9299

Other providers in Stacy