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

Derek Prowe LLC

Organization Psychologist · NPI 1083074371

Derek Prowe LLC is a Psychologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4749 Chicago Ave Ste 1D
Minneapolis, MN 55407-3556
Phone: (612) 656-9122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP5238 (MN)

Record details

NPI number1083074371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Prowe — Owner · (612) 656-9122
NPI enumeratedFebruary 29, 2016
Last updated in NPPESFebruary 29, 2016
Mailing address4749 Chicago Ave, Suite 1d, Minneapolis, MN 55407-3556

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