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

Dr. Theodore Surdy, PHDLP

Individual provider Clinical Psychologist · NPI 1063463347

Dr. Theodore Surdy, PHDLP is a Clinical Psychologist in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

1227 Caledonia St
Mankato, MN 56001-4329
Phone: (507) 388-8874
Fax: (507) 685-4807
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP3385 (MN)

Record details

NPI number1063463347
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDLP
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023
Mailing address1227 Caledonia St, Mankato, MN 56001-4329

Other providers in Mankato