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

Individual provider Psychologist · NPI 1104318526

Dr. Terrel Backes, LICENSEDPSYCHOLOGIS is a Psychologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
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Practice location Address checks out

2712 Fremont Ave S
Minneapolis, MN 55408-1122
Phone: (612) 872-8218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP5908 (MN)

Record details

NPI number1104318526
Entity typeIndividual (Type 1)
GenderMale
Credentials LICENSEDPSYCHOLOGIS
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESJune 1, 2018

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