Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Andrew F Fedor III, PHDLP

Individual provider Clinical Neuropsychologist · NPI 1568984078

Dr. Andrew F Fedor III, PHDLP is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2015, 11 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

800 E 28th St Ste 1750
Minneapolis, MN 55407-3723
Phone: (612) 863-4495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6140 (MN)
Clinical Neuropsychologist Taxonomy 103G00000X

Record details

NPI number1568984078
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDLP
Sole proprietorNo
NPI enumeratedJuly 17, 2017
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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