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

Individual provider Counseling Psychologist · NPI 1205344132

Edward Fosco, MS is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 1987, 39 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group.

Years since qualifying
39
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

621 W Lake St Ste 350
Minneapolis, MN 55408-2952
Phone: (612) 547-9990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence LP2963

Record details

NPI number1205344132
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorYes
NPI enumeratedJanuary 12, 2018
Last updated in NPPESJanuary 12, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians
Accepts Medicare assignment Not indicated

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