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

Southmplspsychotherapy

Organization Clinical Psychologist · NPI 1649193814

Southmplspsychotherapy is a Clinical Psychologist in Minneapolis, Minnesota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4325 Grand Ave S
Minneapolis, MN 55409-1913
Phone: (928) 566-8482
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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 number1649193814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily James — Licensed Psychologist · (928) 566-8482
Other names South Minneapolis Psychotherapy
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address202 N Cedar Ave Ste 1, Owatonna, MN 55060-2306

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