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

Individual provider Clinical Psychologist · NPI 1902133440

Dr. Thyra Anne Fossum, PHD is a Clinical Psychologist in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1595 Selby Ave Ste 109
Saint Paul, MN 55104-6221
Phone: (612) 229-8198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP4703 (MN)

Record details

NPI number1902133440
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 4, 2009
Last updated in NPPESJune 30, 2015

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