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

Heidi Bausch-Ryan, PSYD, LP

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194195248

Heidi Bausch-Ryan, PSYD, LP is a Student in an Organized Health Care Education/Training Program in Mendota Heights, Minnesota. Works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1155 Northland Dr
Mendota Heights, MN 55120-1288
Phone: (612) 223-8898
Show map & directions

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

Additional practice locations (2)

  • 310 Clifton Ave, Minneapolis, MN 55403-3218 — (612) 223-8898
  • 7601 Wayzata Blvd, St Louis Park, MN 55426-1626 — (161) 222-3889

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6747 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194195248
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedOctober 1, 2015
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address7601 Wayzata Blvd, St Louis Park, MN 55426-1626

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