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

Parkside Psychology, Inc

Organization Clinical Psychologist · NPI 1114175791

Parkside Psychology, Inc is a Clinical Psychologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2124 Dupont Ave S 104
Minneapolis, MN 55405-2700
Phone: (612) 871-4336
Fax: (612) 929-2331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP1891 (MN)

Record details

NPI number1114175791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sally Moore — Psychologist/Owner · (612) 871-4336
NPI enumeratedSeptember 8, 2008
Last updated in NPPESSeptember 8, 2008
Mailing address2124 Dupont Ave S, 104, Minneapolis, MN 55405-2700

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