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

Dr. Collin Ross Modahl, LP

Individual provider Clinical Psychologist · NPI 1184260812

Dr. Collin Ross Modahl, LP is a Clinical Psychologist in Alexandria, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019

Practice location Address checks out

324 Broadway St Ste 206
Alexandria, MN 56308-1482
Phone: (320) 762-1762
Fax: (320) 762-1762
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP6478 (MN)

Record details

NPI number1184260812
Entity typeIndividual (Type 1)
GenderMale
Credentials LP
Sole proprietorYes
NPI enumeratedNovember 18, 2019
Last updated in NPPESNovember 18, 2019

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