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

Minneapolis Southwest Mental Health Clinic, Limited

Organization Psychologist · NPI 1649485111

Minneapolis Southwest Mental Health Clinic, Limited is a Psychologist in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

4010 W 65th St Ste 101
Edina, MN 55435-1724
Phone: (952) 831-4499
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP2893 (MN)

Record details

NPI number1649485111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Peterson — President · (952) 831-4499
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4010 W 65th St Ste 101, Edina, MN 55435-1724

Other providers in Edina