Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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South Suburban Psychological & Counseling Services, PLLC

Organization Clinical Psychologist · NPI 1477859437

South Suburban Psychological & Counseling Services, PLLC is a Clinical Psychologist in Eagan, Minnesota. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4635 Nicols Rd Ste 200
Eagan, MN 55122-3337
Phone: (952) 431-6862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1477859437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ferrarese — Psychologist/Owner · (952) 431-6862
NPI enumeratedFebruary 8, 2011
Last updated in NPPESFebruary 8, 2011
Mailing address4635 Nicols Rd, Suite 200, Eagan, MN 55122-3337

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