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

Portage Psychology PA

Organization Psychologist · NPI 1245975010

Portage Psychology PA is a Psychologist in Eden Prairie, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
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

10125 Crosstown Cir Ste 110
Eden Prairie, MN 55344-3316
Phone: (612) 688-5933
Fax: (612) 500-4607
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1245975010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anna Krull — Vice-President · (612) 986-3333
NPI enumeratedMay 4, 2022
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022
Mailing address10125 Crosstown Cir Ste 110, Eden Prairie, MN 55344-3316

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