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

Daniel L Wise, Ph D , PA

Organization Clinical Psychologist · NPI 1528636511

Daniel L Wise, Ph D , PA is a Clinical Psychologist in Edina, Minnesota. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5200 Willson Rd Ste 205
Edina, MN 55424-1343
Phone: (612) 875-4449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 32 18th Ave Ne, Minneapolis, MN 55418-4202 — (612) 875-4449

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1528636511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Wise — President/Licensed Psychologist · (612) 875-4449
NPI enumeratedJune 15, 2021
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021
Mailing address5200 Willson Rd Ste 205, Minneapolis, MN 55424-1343

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